Organization
A & H STORES, INC.
Active
Other names
Friday Harbor Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY J HENDRICKSON (GENERAL COUNSEL)
(253) 520-0333
Entity
Organization
Contact information
Practice address
210 SPRING ST W, FRIDAY HARBOR, WA 98250
(360) 378-4421
(360) 378-6140
Mailing address
25022 104TH AVE SE, SUITE E, KENT, WA 98030-2822
(253) 520-0333
(253) 520-0444
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF00005414
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4903933
NABP
—
01
—
600656507
STATE TAX ID #
WA
05
—
6018733
—
WA
Enumeration date
02/28/2006
Last updated
03/08/2012
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