Organization
MATRX PHARMACY, LLC
Active
Other names
Matrx LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JANET KUSLER (PHARMACIST)
(360) 863-3009
Entity
Organization
Contact information
Practice address
1030 AVENUE D, STE 2, SNOHOMISH, WA 98290-2086
(360) 863-3009
(360) 217-7570
Mailing address
1030 AVENUE D, STE 2, SNOHOMISH, WA 98290-2086
(360) 863-3009
(360) 217-7570
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHAR.CF.60365255
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140751
PK
—
Enumeration date
06/03/2013
Last updated
06/29/2016
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