Organization
WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Active
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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