Organization
CHRISELDA GAMINO
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISELDA GAMINO (OWNER)
(509) 547-7537
Entity
Organization
Contact information
Practice address
1121 W COURT ST, PASCO, WA 99301-4158
(509) 547-7537
(509) 546-2644
Mailing address
1121 W COURT ST, PASCO, WA 99301-4158
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF00005096
WA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4913770
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6071807
—
WA
Enumeration date
08/31/2006
Last updated
03/07/2023
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