Organization
KENTHILL PHARMACY INC
Active
Other names
Kenthill Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IZU OKAFOR (PHARMACIST)
(253) 854-2202
Entity
Organization
Contact information
Practice address
4058 AUBURN WAY N, AUBURN, WA 98002-1392
(253) 854-2202
Mailing address
4058 AUBURN WAY N, AUBURN, WA 98002-1392
(253) 854-2202
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF60141932
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4933708
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/16/2010
Last updated
06/16/2010
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