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Organization

PAULS PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL PORT (OWNER)
(360) 373-0622
Entity
Organization

Contact information

Practice address
732 LEBO BLVD, BREMERTON, WA 98310-3325
(360) 373-0622
(360) 377-9202
Mailing address
732 LEBO BLVD, BREMERTON, WA 98310-3325

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF00002273
WA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4915914
OTHER ID NUMBER-COMMERCIAL NUMBER
05
6009583
WA
Enumeration date
07/30/2006
Last updated
09/11/2025
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