Organization
BONNEY LAKE PHARMACY, LLC
Active
Other names
Bonney Lake Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN G LOCHALA PHARMD, RPH (PHARMACIST/PHARMACY OWNER)
(253) 447-7669
Entity
Organization
Contact information
Practice address
19102 SR 410 E STE B, BONNEY LAKE, WA 98391-8449
(253) 447-7669
(253) 447-7841
Mailing address
15817 198TH AVE E, BONNEY LAKE, WA 98391-7450
(207) 491-8894
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
07/29/2022
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