Organization
JRK PHARMA INC
Active
Other names
Edmonds Pharmacy @ Stevens Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAIKRISHNA ARUMILLI (OWNER)
(425) 563-6381
Entity
Organization
Contact information
Practice address
21701 76TH AVE W STE 104A, EDMONDS, WA 98026-7536
(425) 563-6381
(425) 563-6385
Mailing address
21701 76TH AVE W STE 104A, EDMONDS, WA 98026-7536
(425) 563-6381
(425) 563-6385
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF60180646
WA
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015087
—
WA
01
—
2127034
PK
—
Enumeration date
11/17/2010
Last updated
05/27/2016
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