Organization
NYBERG HEALTH ENTERPRISES INC
Active
Organization
NYBERG HEALTH ENTERPRISES INC
Active
Other names
THE FALLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY ENEMARK PHARMD (PRESIDENT)
(425) 888-6858
Entity
Organization
Contact information
Practice address
8112 RAILROAD AVE SE, SNOQUALMIE, WA 98065
(425) 888-6858
(425) 888-6870
Mailing address
PO BOX 2031, SNOQUALMIE, WA 98065-2031
(425) 888-6858
(425) 888-6870
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHARCF00056298
WA
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002778-CS
OR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110522
PK
—
05
—
6021695
—
WA
Enumeration date
09/06/2006
Last updated
02/25/2022
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