Organization
EASTMONT PHARMACY INC
Active
Other names
MITCHELLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AL GLASS (COOWNER)
(509) 745-8095
Entity
Organization
Contact information
Practice address
105 1/2 W LOCUST, WATERVILLE, WA 98858
(509) 745-8095
(509) 745-9096
Mailing address
PO BOX 578, WATERVILLE, WA 98858-0578
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF00004994
WA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4910231
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
09/11/2025
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