Organization
KOKILA PATEL
Active
Other names
International Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL PATEL (PRESIDENT)
(425) 785-6610
Entity
Organization
Contact information
Practice address
11228 BRIDGEPORT WAY SW, SUITE B, LAKEWOOD, WA 98499-3003
(253) 302-4559
(253) 302-4563
Mailing address
11228 BRIDGEPORT WAY SW, SUITE B, LAKEWOOD, WA 98499-3003
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
60078627
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4933203
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/03/2009
Last updated
04/28/2009
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