Organization
WILBUR DRUG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK J PYLE RPH (PRESIDENT)
(509) 647-2034
Entity
Organization
Contact information
Practice address
2 SW MAIN AVE, WILBUR, WA 99185-1092
(509) 647-2034
(509) 647-2034
Mailing address
2 SW MAIN AVE, P.O.BOX 1092, WILBUR, WA 99185-1092
(509) 647-2034
(509) 647-2034
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00003613
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14710
L&I NUMBER
WA
01
—
4911485
NCPDP NUMBER
WA
05
—
6138606
—
WA
01
—
CF00003613
PHARMACY LICENSE
WA
Enumeration date
05/19/2006
Last updated
03/07/2023
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