Organization
RANKOS STADIUM PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH RANKOS (PHARMACIST)
(253) 383-2411
Entity
Organization
Contact information
Practice address
101 N TACOMA AVE, TACOMA, WA 98403-2631
(253) 383-2411
(253) 572-4329
Mailing address
101 N TACOMA AVE, TACOMA, WA 98403-2657
(253) 572-4329
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
CF00002934
WA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008703
DEPT OF L & I
WA
01
—
0191155
DEPT OF L & I DME
WA
01
—
4909620
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6003065
—
WA
Enumeration date
08/20/2006
Last updated
01/04/2026
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