Organization
KELSO DRUG CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HOLLINGSWORTH (OWNER)
(360) 423-2220
Entity
Organization
Contact information
Practice address
204 S PACIFIC AVE, KELSO, WA 98626-1618
(360) 423-2220
(360) 425-1940
Mailing address
PO BOX 27, KELSO, WA 98626-0002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF00002494
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4904199
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
60000632
—
WA
Enumeration date
02/13/2007
Last updated
09/11/2025
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