Organization
RANIER HOME HEALTHCARE PHCY
Active
Other names
RAINIER LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TRAN (PRESIDENT)
(206) 726-1118
Entity
Organization
Contact information
Practice address
810 METCALF ST, SEDRO WOOLLEY, WA 98284-1423
(360) 855-2800
(360) 855-2888
Mailing address
810 METCALF ST, SEDRO WOOLLEY, WA 98284-1423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
FL00058091
WA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4928086
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6023394
—
WA
Enumeration date
06/24/2006
Last updated
07/18/2008
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