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Organization

PUGET SOUND PHARMACY LLC

Active
Other names
Puget Sound Pharmacy, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSALIE NGUYEN PHARMD (MANAGER)
(253) 572-0180
Entity
Organization

Contact information

Practice address
1112 6TH AVE STE 101, TACOMA, WA 98405-4048
(253) 572-0180
(253) 561-0018
Mailing address
1112 6TH AVE, STE 101, TACOMA, WA 98405-4040
(253) 572-0180
(253) 561-0018

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
CF60114820
WA
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4933570
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
11/19/2009
Last updated
08/30/2011
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