Organization
BATES DRUG STORE INC
Active
Other names
BATES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CORDIER (PRESIDENT CEO)
(509) 489-4500
Entity
Organization
Contact information
Practice address
3704 N NEVADA ST, SPOKANE, WA 99207-2968
(509) 489-4500
(509) 489-4527
Mailing address
3704 N NEVADA ST, SPOKANE, WA 99207-2968
(509) 489-4500
(509) 489-4527
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00057208
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107952
PK
—
05
—
6088801
—
WA
Enumeration date
10/20/2006
Last updated
03/29/2016
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