Organization
WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Active
Other names
Rainier School Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GUY KUESTERMEYER PHARM D (PHARMACY DIRECTOR)
(360) 829-3415
Entity
Organization
Contact information
Practice address
2120 RYAN RD, BUCKLEY, WA 98321-9115
(360) 829-3415
(360) 829-3076
Mailing address
2120 RYAN RD, BUCKLEY, WA 98321-9115
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
FL00000713
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4902664
OTHER ID NUMBER
—
Enumeration date
11/21/2006
Last updated
06/19/2008
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