Organization
NICHOLSONS SUMNER PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN L HUBBARD RPH (CO-OWNER)
(253) 863-8141
Entity
Organization
Contact information
Practice address
910 ALDER AVE, SUMNER, WA 98390-1406
(253) 863-8141
(253) 863-3707
Mailing address
910 ALDER AVE, SUMNER, WA 98390-1406
(253) 863-8141
(253) 863-3707
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00000590
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6054902
—
WA
Enumeration date
09/20/2006
Last updated
05/08/2024
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