Organization
LACEY SQUARE PHARMACY INC
Active
Organization
LACEY SQUARE PHARMACY INC
Active
Other names
READY MEDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDERSON SHAWN JOLLY RPH (PRESIDENT)
(425) 251-6335
Entity
Organization
Contact information
Practice address
6020 PACIFIC AVE SE STE C, LACEY, WA 98503-1319
(425) 251-6335
(425) 251-6337
Mailing address
1412 SW 43RD ST STE 120, RENTON, WA 98057-4803
(425) 251-6335
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHAR.CF.60953133
WA PHARMACY LICENSE
WA
Enumeration date
05/22/2019
Last updated
05/22/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up