Organization
CLARKSTON HEIGHTS PHARMACY
Active
Organization
CLARKSTON HEIGHTS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM HAYS (CEO)
(208) 882-5536
Entity
Organization
Contact information
Practice address
2119 5TH AVE, CLARKSTON, WA 99403-1406
(509) 758-3376
(509) 758-3377
Mailing address
2119 5TH AVE, CLARKSTON, WA 99403-1406
(509) 758-3376
(509) 758-3377
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6096606
—
WA
Enumeration date
11/09/2006
Last updated
08/22/2020
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