Organization
HUTTULA ENTERPRISES INC
Active
Other names
Brewer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TOM B HUTTULA RPH (PRESIDENT)
(360) 482-2512
Entity
Organization
Contact information
Practice address
402 W. MAIN ST., ELMA, WA 98541-0597
(360) 482-2512
(360) 482-2010
Mailing address
PO BOX 597, ELMA, WA 98541-0597
(360) 482-2512
(360) 482-2010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00057742
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4903440
NCPDP
—
05
—
6009302
—
WA
Enumeration date
12/14/2006
Last updated
08/22/2020
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