Organization
POMEROY PHARMACY INC
Active
Other names
POMEROY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FIELD (SEC TREASURER)
(504) 843-1821
Entity
Organization
Contact information
Practice address
764 MAIN ST, POMEROY, WA 99347
(509) 843-1821
(509) 843-3447
Mailing address
PO BOX 967, POMEROY, WA 99347-0967
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.00003566
WA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106979
PK
—
05
—
6063101
—
WA
Enumeration date
12/01/2006
Last updated
07/13/2016
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