Organization
HEDDENS PHARMACY INC
Active
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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