Organization
NORTH PINES PHARMACY INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANTICH RPH (RPH/OWNER)
(509) 924-1222
Entity
Organization
Contact information
Practice address
12414 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0722
(509) 924-1222
(509) 922-6411
Mailing address
12414 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0722
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00003805
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4915243
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6119804
—
WA
Enumeration date
11/15/2006
Last updated
09/29/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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