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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