Organization
TEKOA RX LLC
Active
Other names
Tekoa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LORRAINE SPERBER (OWNER/MANAGER)
(509) 284-4205
Entity
Organization
Contact information
Practice address
124 N CROSBY ST, TEKOA, WA 99033
(509) 284-4205
(509) 284-3076
Mailing address
PO BOX 808, TEKOA, WA 99033
(509) 284-4205
(509) 284-3076
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.00056426
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110562
PK
—
05
—
6022479
—
WA
Enumeration date
12/08/2006
Last updated
04/24/2019
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