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Organization

THOME ENTERPRISE L L C

Active
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Organization

THOME ENTERPRISE L L C

Active
Other names
Howard's Drug
Organization subpart
No

Provider details

NPI number
Authorized official
ERIK MICKELSON (MANAGER)
(509) 834-7411
Entity
Organization

Contact information

Practice address
300 JIM CLEMENTS WAY, SUITE A, SELAH, WA 98942
(509) 902-6062
(509) 902-3996
Mailing address
300 JIM CLEMENTS WAY, SUITE A, SELAH, WA 98942
(509) 902-6062
(509) 902-3996

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
601963838
WA
3336C0003X
Community/Retail Pharmacy
601963838
WA
3336L0003X
Long Term Care Pharmacy
Primary
335E00000X
Prosthetic/Orthotic Supplier
601963838
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4901713
NABP NUMBER
WA
05
6016000
WA
01
601963838
UBI NUMBER
WA
Enumeration date
10/02/2006
Last updated
06/22/2026
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