Organization
CHINOOK PHARMACY CLINICAL
Active
Parent organization
CHINOOK PHARMACY INC.
Other names
Chinook Pharmacy INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHINOOK PHARMACY INC.
Authorized official
CHARLES EDWARD CARLSON RPH (OWNER/RPH)
(360) 374-2294
Entity
Organization
Contact information
Practice address
11 S FORKS AVE STE A, FORKS, WA 98331-9006
(360) 374-2294
(360) 374-5057
Mailing address
PO BOX 2136, FORKS, WA 98331-2136
(360) 374-2294
(360) 374-5057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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