Organization
EASTMONT PHARMACY INC
Active
Organization
EASTMONT PHARMACY INC
Active
Other names
EASTMONT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HOLLIDAY (COOWNER)
(509) 884-7254
Entity
Organization
Contact information
Practice address
630 VALLEY MALL PKWY, E WENATCHEE, WA 98802-4838
(509) 884-7254
(509) 884-4698
Mailing address
630 VALLEY MALL PKWY, E WENATCHEE, WA 98802-4838
(509) 884-7254
(509) 884-4698
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00004184
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4903298
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
11/19/2009
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