Organization
J&K HEALTHCARE ENTERPRISES INC
Active
Other names
Yauger Park Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FURBUSH (PHARM D/ OWNER)
(360) 357-3371
Entity
Organization
Contact information
Practice address
1625 MOTTMAN RD SW STE 101, TUMWATER, WA 98512-7833
(360) 357-3371
(360) 705-0570
Mailing address
1625 MOTTMAN RD SW STE 101, TUMWATER, WA 98512-7833
(360) 357-3371
(360) 705-0570
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60556149
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146044
PK
—
05
—
6015762
—
WA
Enumeration date
08/31/2006
Last updated
01/17/2017
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