Organization
SKIDMORE PHARMACY INC
Active
Other names
Skidmore Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE SKIDMORE R.PH. (PHARMACIST/OWNER)
(360) 293-2124
Entity
Organization
Contact information
Practice address
1213 24TH ST, STE 400, ANACORTES, WA 98221-2592
(360) 293-2124
(360) 293-0419
Mailing address
1213 24TH ST STE 400, ANACORTES, WA 98221-2595
(360) 293-2124
(360) 293-0419
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00056465
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106527
PK
—
05
—
6151401
—
WA
Enumeration date
07/30/2006
Last updated
06/08/2020
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