Organization
LAKEWOOD PHARMACY INC
Active
Other names
Mega Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUNG CHANG (PHARMACIST)
(253) 507-7492
Entity
Organization
Contact information
Practice address
1902 96TH ST S STE A, TACOMA, WA 98444-2808
(253) 302-4178
(253) 503-0858
Mailing address
1902 96TH ST S, STE A, TACOMA, WA 98444-2808
(253) 302-4178
(253) 503-0858
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60353905
WA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2034106
—
WA
01
—
2143288
PK
—
Enumeration date
12/10/2013
Last updated
01/06/2020
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