Organization
IKINYA LLC
Active
Other names
IKINYA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
INDRAJEETSINH SARVAIYA (PHARMACY OWNER)
(360) 674-8153
Entity
Organization
Contact information
Practice address
20700 BOND RD NE STE 110, POULSBO, WA 98370-9099
(360) 930-8264
(360) 930-8962
Mailing address
20700 BOND RD NE STE 110, POULSBO, WA 98370-9099
(360) 930-8264
(360) 930-8962
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60215564
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4934041
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/06/2011
Last updated
06/30/2011
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