Organization
ROCHESTER DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG TAVIS RPH (OWNER PHARMACIST)
(360) 273-5522
Entity
Organization
Contact information
Practice address
7505 183RD AVE SW UNIT C, ROCHESTER, WA 98579-9212
(360) 273-5522
(360) 273-8067
Mailing address
7505 183RD AVE SW, UNIT C, ROCHESTER, WA 98579
(360) 273-5522
(360) 273-8067
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6021091
—
WA
05
—
9046053
—
WA
05
—
9046251
—
WA
Enumeration date
07/07/2005
Last updated
04/20/2008
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