Organization
TICK KLOCK DRUG LLC
Active
Other names
TICK KLOCK DRUGS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN JOHNSON PHARMD (OWNER/ PHARMACIST)
(509) 397-2111
Entity
Organization
Contact information
Practice address
109 S MAIN ST, COLFAX, WA 99111-1803
(509) 397-2111
(509) 397-4947
Mailing address
PO BOX 189, COLFAX, WA 99111-0189
(509) 397-2111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00000865
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106591
PK
—
05
—
6009641
—
WA
Enumeration date
08/10/2006
Last updated
02/28/2023
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