Organization
SPECIALTY PHARMACIES INC
Active
Other names
MOMS Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA TEMPESTA R.PH. (VP OF FINANCE)
(631) 547-6520
Entity
Organization
Contact information
Practice address
1017 E UNION ST, SEATTLE, WA 98122-3824
(206) 568-2486
(206) 568-3233
Mailing address
PO BOX 637308, CINCINNATI, OH 45263-7308
(206) 568-2486
(206) 568-3233
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
CF60029140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4933087
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/02/2008
Last updated
09/05/2012
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