Organization
CHENEY OWL PHARMACY INC
Active
Other names
Coulee Owl Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GOYKE PHARMD (PRESIDENT)
(509) 999-2355
Entity
Organization
Contact information
Practice address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-6425
(509) 633-6358
Mailing address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60747617
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHAR.CF.60747617
PHARMACY LICENSE
WA
Enumeration date
10/03/2017
Last updated
03/11/2024
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