Organization
GOOD PHARMACY, INC.
Active
Other names
Good Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANG HAN (PRESIDENT)
(253) 584-9164
Entity
Organization
Contact information
Practice address
8511 S TACOMA WAY STE 102, LAKEWOOD, WA 98499-6521
(253) 584-9164
(253) 588-1722
Mailing address
8511 S TACOMA WAY STE 102, LAKEWOOD, WA 98499-6521
(253) 584-9164
(253) 588-1722
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF60053447
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4933114
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6032098
—
WA
Enumeration date
12/02/2008
Last updated
08/04/2021
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