Organization
RESPACK LLC
Active
Other names
Respack LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN IKEDA (PHARMACIST IN CHARGE)
(800) 330-3665
Entity
Organization
Contact information
Practice address
18110 SE 34TH ST BLDG 2, VANCOUVER, WA 98683-9440
(800) 330-3665
(800) 982-2730
Mailing address
18110 SE 34TH ST STE 290, VANCOUVER, WA 98683-9418
(800) 330-3665
(800) 982-2730
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHA-MOP-LIC-50122
MT
3336C0003X
Community/Retail Pharmacy
RP-0003332-CS
OR
3336L0003X
Long Term Care Pharmacy
Primary
44154MS
ID
3336L0003X
Long Term Care Pharmacy
NR-51309
WY
3336L0003X
Long Term Care Pharmacy
PHAR.FC.6068072
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166391
PK
—
Enumeration date
11/21/2016
Last updated
09/19/2025
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