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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