Organization
PACIFIC NORTHWEST SPECIALTY PHARMACY LLC
Active
Other names
Pacific NW Specialty Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COLEMAN (PRESIDENT/OWNER)
(360) 606-8777
Entity
Organization
Contact information
Practice address
3801 MAIN ST STE A, VANCOUVER, WA 98663-2258
(360) 448-7890
(360) 448-7258
Mailing address
3801 MAIN ST STE A, VANCOUVER, WA 98663-2258
(360) 448-7890
(360) 448-7258
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
PHARCF60285905
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050038
—
WA
Enumeration date
07/16/2012
Last updated
02/22/2021
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