Organization
CAMMACKS PHARMACIES INC
Active
Other names
JIMS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH GLEN CAMMACK RPH (OWNER)
(360) 452-4200
Entity
Organization
Contact information
Practice address
424 E 2ND ST, PORT ANGELES, WA 98362-3119
(360) 452-4200
(360) 457-6557
Mailing address
424 E 2ND ST, PORT ANGELES, WA 98362-3119
(360) 452-4200
(360) 457-6557
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
9030552
WA
3336C0003X
Community/Retail Pharmacy
Primary
CF00057963
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6148704
—
WA
05
—
9012345
—
WA
05
—
9012352
—
WA
05
—
9030552
—
WA
01
—
G8890408
MEDICARE FLU PTAN
WA
Enumeration date
07/28/2006
Last updated
01/07/2015
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