Organization
HEDDENS PHARMACY INC
Active
Other names
HEDDENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL PHARMD (VICE PRESIDENT)
(360) 264-2575
Entity
Organization
Contact information
Practice address
196 SUSSEX AVE W, TENINO, WA 98589-9327
(360) 264-2575
(360) 264-5039
Mailing address
PO BOX 4008, TENINO, WA 98589-4008
(360) 264-2575
(360) 264-5039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF00004786
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107554
PK
—
05
—
6035208
—
WA
Enumeration date
08/10/2006
Last updated
01/04/2022
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