Organization
ANCILLARY MEDICAL SERVICES INC
Active
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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