Organization
MARIKA, INC DBA THE CONNELL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MARTHA HALL RPH (OWNER PHARMACIST)
(509) 234-2415
Entity
Organization
Contact information
Practice address
140 N COLUMBIA, CONNELL, WA 99326-0070
(509) 234-2415
(509) 234-2414
Mailing address
PO BOX 70, CONNELL, WA 99326-0070
(509) 234-5415
(509) 234-2414
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00057135
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157483
WA STATE LABOR AND INDUST
WA
05
—
6025381
—
WA
Enumeration date
11/07/2006
Last updated
08/22/2020
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