Organization
NORTHWEST PHARMACY SERVICES INC
Active
Other names
Sid's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WIL EDWARDS (OWNER)
(208) 875-1212
Entity
Organization
Contact information
Practice address
825 SE BISHOP BLVD, STE 301, PULLMAN, WA 99163-5517
(509) 332-4608
(509) 332-3341
Mailing address
825 SE BISHOP BLVD, STE 301, PULLMAN, WA 99163-5517
(509) 332-4608
(509) 332-3341
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60431939
WA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750704896
—
ID
05
—
2035323
—
WA
01
—
2144903
PK
—
Enumeration date
01/24/2014
Last updated
04/18/2024
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