Organization
JIKE LLC
Active
Other names
SQUARE CARE MEDICAL & PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
IHEKE O EKEYA PHARM.D (OWNER)
(503) 473-6316
Entity
Organization
Contact information
Practice address
8600 E MILL PLAIN BLVD STE A, VANCOUVER, WA 98664-2055
(360) 583-4633
(360) 258-0597
Mailing address
717 NW 120TH ST, VANCOUVER, WA 98685-2495
(360) 583-4633
(360) 258-0597
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
02/24/2020
Last updated
09/03/2022
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