Organization
CITY CENTER DRUG INC
Active
Organization
CITY CENTER DRUG INC
Active
Other names
City Center Drug
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK O'DONNELL (OWNER)
(360) 532-5182
Entity
Organization
Contact information
Practice address
108 E WISHKAH ST, ABERDEEN, WA 98520-6508
(360) 532-5182
(360) 532-5887
Mailing address
108 E WISHKAH ST, ABERDEEN, WA 98520-6508
(360) 532-5182
(360) 532-5887
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHAR.CF.00059225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4933950
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/09/2011
Last updated
03/09/2011
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