Organization
EMPIRESRX
Active
Other names
Tonasket Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH GAJJALA RPH (PHARMACIST/OWNER)
(509) 631-1453
Entity
Organization
Contact information
Practice address
315 S. WHITCOMB AVE, TONASKET, WA 98855
(509) 486-0123
(509) 486-0124
Mailing address
PO BOX 871, OMAK, WA 98841-0871
(509) 631-1453
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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