Organization
SIXTH AVENUE MEDICAL BUILDING PHARMACY
Active
Organization
SIXTH AVENUE MEDICAL BUILDING PHARMACY
Active
Other names
Sixth Avenue LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK JAMES NELSON PHARMD (PRESIDENT)
(509) 455-9345
Entity
Organization
Contact information
Practice address
508 W 6TH AVE STE 100, SPOKANE, WA 99204-2738
(509) 455-9345
(509) 455-4479
Mailing address
508 W 6TH AVE, STE 104, SPOKANE, WA 99204
(509) 455-9345
(509) 455-4479
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177061
PK
—
Enumeration date
04/16/2018
Last updated
01/26/2024
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