Organization
CROWN DRUG OF HOQUIAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG A GRUN RPH (PRESIDENT)
(360) 533-0961
Entity
Organization
Contact information
Practice address
2544 SIMPSON AVE, HOQUIAM, WA 98550-3937
(360) 533-0961
(360) 532-8997
Mailing address
2544 SIMPSON AVE, HOQUIAM, WA 98550-3937
(360) 533-0961
(360) 532-8997
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00001373
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6129407
—
WA
Enumeration date
12/04/2006
Last updated
02/21/2008
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