Organization
CLE ELUM DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GRILLO RPH (OWNER)
(509) 674-2155
Entity
Organization
Contact information
Practice address
219 E 1ST ST, CLE ELUM, WA 98922-1103
(509) 674-2155
(509) 674-5660
Mailing address
219 E 1ST ST, CLE ELUM, WA 98922-1103
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF00004765
WA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4918035
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6005219
—
WA
Enumeration date
07/30/2006
Last updated
09/11/2025
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