Organization
STA-RAW EAST, INC.
Active
Other names
Medical Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN M CHOATE RPH. (OWNER)
(360) 423-7847
Entity
Organization
Contact information
Practice address
901 15TH AVE, LONGVIEW, WA 98632-2322
(360) 423-7847
(360) 414-4112
Mailing address
901 15TH AVE, LONGVIEW, WA 98632-2322
(360) 423-7847
(360) 414-4112
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6019285
—
WA
Enumeration date
11/28/2006
Last updated
09/11/2025
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