Organization
YAKIMA RIVER PHARMACIES, LLC
Active
Parent organization
BLUE MOUNTAIN PHARMACIES, LLC
Other names
Densows LTC Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE MOUNTAIN PHARMACIES, LLC
Authorized official
JONATHAN REYNOLDS (OWNER)
(509) 943-1165
Entity
Organization
Contact information
Practice address
1011 WRIGHT AVE, RICHLAND, WA 99354-3011
(509) 943-1165
Mailing address
1011 WRIGHT AVE, RICHLAND, WA 99354-3011
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHAR.CF.60464141
WA
332BN1400X
Nursing Facility Supplies (DME)
PHAR.CF.60464141
WA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHAR.CF.60464141
WA
3336L0003X
Long Term Care Pharmacy
Primary
PHAR.CF.60464141
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHAR.CF.60464141
PHARMACY LICENSE
WA
Enumeration date
06/14/2014
Last updated
06/14/2014
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