Organization
GALLERY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA DIANE WELLER RPH (PHARMACY MANAGER)
(360) 642-4244
Entity
Organization
Contact information
Practice address
1108 SOUTH PACIFIC HWY, LONG BEACH, WA 98631-1037
(360) 642-4244
(360) 642-4245
Mailing address
PO BOX 1078, 1108 S PACIFIC HWY, LONG BEACH, WA 98631
(360) 642-4244
(360) 642-4245
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF00003996
WA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4921424
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6010664
—
WA
Enumeration date
11/14/2006
Last updated
07/03/2008
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