Organization
FAIRWAY DRUG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY P. KOEHLER RPH (MANAGER)
(360) 354-1226
Entity
Organization
Contact information
Practice address
1758 FRONT ST # 106, LYNDEN, WA 98264-1261
(360) 354-1226
(360) 354-6561
Mailing address
1758 FRONT ST # 106, LYNDEN, WA 98264-1261
(360) 354-1226
(360) 354-6561
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHAR.CF.00003781
WA
3336C0003X
Community/Retail Pharmacy
Primary
CF00003781
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006720
—
WA
Enumeration date
10/27/2006
Last updated
10/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us