Organization
RXLTC, PLLC
Active
Other names
RX Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL C JOHNSON PHARMD (OWNER/PHARMACIST)
(509) 713-7444
Entity
Organization
Contact information
Practice address
8021 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-7146
(509) 940-9001
(509) 940-9002
Mailing address
8021 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-7146
(509) 940-0001
(509) 940-9002
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604-190-004
UBI
WA
01
—
PHAR.CF.61133843
STATE LICENSE
WA
Enumeration date
01/31/2018
Last updated
08/19/2024
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