Organization
BATTLE GROUND PHARMACY INC
Active
Other names
BATTLE GROUND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
E DARRELL RAFFERTY RPH (PRESIDENT)
(360) 687-3128
Entity
Organization
Contact information
Practice address
717 W MAIN ST, BATTLE GROUND, WA 98604-4479
(360) 687-3128
(360) 687-3129
Mailing address
PO BOX 489, BATTLE GROUND, WA 98604-0489
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00001829
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901078
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6018105
—
WA
Enumeration date
03/08/2007
Last updated
09/30/2010
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