Organization
CITY CENTER DRUG INC
Active
Other names
CITY CENTER DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK O DONNELL (OWNER)
(360) 532-5182
Entity
Organization
Contact information
Practice address
108 E WISHKAH ST, ABERDEEN, WA 98520-6508
(360) 532-5182
(360) 532-5887
Mailing address
108 E WISHKAH ST, ABERDEEN, WA 98520-6508
(360) 532-5182
(360) 532-5887
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00059225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106523
PK
—
05
—
6027882
—
WA
Enumeration date
08/04/2005
Last updated
08/13/2014
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