Organization
JRK PHARMA INC
Active
Other names
jrk pharma inc
Organization subpart
No
Provider details
NPI number
Authorized official
SAIKRISHNA ARUMILLI ARUMILLI (PHARMACY MANGER)
(425) 346-2148
Entity
Organization
Contact information
Practice address
7631 212TH ST SW STE D-100, EDMONDS, WA 98026-7565
(425) 493-6835
Mailing address
7631 212TH ST SW STE D-100, EDMONDS, WA 98026-7565
(425) 493-6835
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF60103930
WA
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4933520
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/15/2009
Last updated
09/15/2009
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