Organization
PROFESSIONAL PHARMACY SERVICES, INC.
Active
Other names
PUGET SOUND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA JAMES (REGULATORY LICENSING MANGAGER)
(513) 719-2600
Entity
Organization
Contact information
Practice address
1112 6TH AVE, STE 101, TACOMA, WA 98405-4040
(253) 272-1107
(253) 272-7327
Mailing address
201 E 4TH ST, 900 OMNICARE CENTER, CINCINNATI, OH 45202-4248
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00059109
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4913768
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6030738
—
WA
Enumeration date
06/12/2006
Last updated
02/15/2016
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