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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