Organization
NORTHWEST PHARMACY SERVICES INC
Active
Organization
NORTHWEST PHARMACY SERVICES INC
Active
Other names
Sid's LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WIL EDWARDS (OWNER)
(208) 875-1212
Entity
Organization
Contact information
Practice address
825 SE BISHOP BLVD STE 301B, PULLMAN, WA 99163-5517
(509) 334-6506
(509) 334-4776
Mailing address
825 SE BISHOP BLVD STE 301B, PULLMAN, WA 99163-5517
(509) 332-4608
(509) 334-4776
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHAR.CF.60432154
WA
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035300
—
WA
01
—
2144904
PK
—
Enumeration date
02/18/2014
Last updated
02/16/2023
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