Organization
NASSAR PHARM, LLC
Active
Other names
Sunnyside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
UDI NASSAR PHARMD (OWNER)
(509) 840-0325
Entity
Organization
Contact information
Practice address
2695 E LINCOLN AVE STE C, SUNNYSIDE, WA 98944-4003
(509) 515-0625
(509) 515-0631
Mailing address
2695 E LINCOLN AVE STE C, SUNNYSIDE, WA 98944-4003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2270935
—
WA
Enumeration date
12/04/2023
Last updated
04/16/2024
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