Organization
PACIFIC NORTHWEST SPECIALTY PHARMACY LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up