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Organization

BRIDGEPORT ALLENMORE LLC

Active
Other names
RAINIER PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT DOUD (OWNER)
(253) 238-2230
Entity
Organization

Contact information

Practice address
1901 S CEDAR ST, STE 104, TACOMA, WA 98405-2308
(253) 582-2293
(253) 272-2294
Mailing address
7424 BRIDGEPORT WAY W, STE 207, LAKEWOOD, WA 98499-8120

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF00057481
WA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4912968
OTHER ID NUMBER-COMMERCIAL NUMBER
05
6014518
WA
Enumeration date
06/12/2006
Last updated
09/11/2025
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