Organization
LOGAR PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEDAYATULLAH JALALYAR PHARM D (PHARAMCY MANAGER)
(509) 967-5037
Entity
Organization
Contact information
Practice address
515 9TH ST, SUIT A, BENTON CITY, WA 99320
(509) 967-5037
Mailing address
PO BOX 4218, WEST RICHLAND, WA 99353-4003
(509) 967-5037
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00021805
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1970
—
WA
Enumeration date
02/23/2010
Last updated
03/04/2010
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