Organization
ANCILLARY MEDICAL SERVICES INC
Active
Other names
THE CONDENSERY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MOULTRAY RPH (MGR CEO AND PHARMACIST)
(360) 336-2102
Entity
Organization
Contact information
Practice address
117 N 1ST ST, MOUNT VERNON, WA 98273-2859
(360) 336-2102
(360) 336-2103
Mailing address
117 N 1ST ST, MOUNT VERNON, WA 98273-2859
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00002292
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4915750
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6139703
—
WA
Enumeration date
03/08/2007
Last updated
09/12/2007
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