Organization
PINE LAKE PHARMACY
Active
Other names
Pine Lake Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMA NARASIMHA RAO MAGANTI RPH (OFFICER)
(469) 406-6588
Entity
Organization
Contact information
Practice address
3042 ISSAQUAH PINE LAKE RD SE, SAMMAMISH, WA 98075-7253
(425) 944-9444
(425) 944-9449
Mailing address
3042 ISSAQUAH PINE LAKE RD SE, SAMMAMISH, WA 98075-7253
(425) 944-9444
(425) 944-9449
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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