Organization
SAGEN'S PHARMACY INC
Active
Other names
Raymond Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF SHANE HARRELL (OWNER)
(360) 642-3133
Entity
Organization
Contact information
Practice address
515 COMMERCIAL ST, RAYMOND, WA 98577-2509
(360) 942-2634
(360) 942-5132
Mailing address
PO BOX 591, RAYMOND, WA 98577-2509
(360) 942-2634
(360) 942-5132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
CF00001625
WA
3336C0003X
Community/Retail Pharmacy
Primary
CF00059361
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6060602
—
WA
Enumeration date
09/16/2006
Last updated
10/28/2016
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