Organization
DUPONT PHARMACY INC
Active
Other names
DuPont Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PERROU RPH (PRESIDENT, PIC)
(360) 888-0955
Entity
Organization
Contact information
Practice address
1545 WILMINGTON DR STE 160, DUPONT, WA 98327-9032
(253) 964-3400
(253) 964-3434
Mailing address
1545 WILMINGTON DR STE 160, DUPONT, WA 98327-9032
(253) 964-3400
(253) 964-3434
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60251442
WA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015423
—
WA
01
—
2132210
PK
—
Enumeration date
09/29/2011
Last updated
12/20/2016
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