Organization
GIANT TURTLE PLLC
Active
Other names
International Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL PATEL RPH (PRESIDENT,OWNER,AO)
(425) 785-6610
Entity
Organization
Contact information
Practice address
11228 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3003
(253) 302-4553
(253) 302-4561
Mailing address
11228 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3003
(253) 302-4553
(253) 302-4561
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60073772
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119030
PK
—
05
—
6032148
—
WA
Enumeration date
02/19/2009
Last updated
04/30/2015
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