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Organization

LJS FURNESS DRUG

Active
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Organization

LJS FURNESS DRUG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNY M FJERMESTAD (MANAGER)
(360) 425-3280
Entity
Organization

Contact information

Practice address
114 PACIFIC AVE S, KELSO, WA 98626-1699
(360) 425-3280
(360) 425-0625
Mailing address
114 PACIFIC AVE S, KELSO, WA 98626-1699
(360) 425-3280
(360) 425-0625

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6005383
WA
Enumeration date
08/09/2019
Last updated
08/09/2019
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