Organization
OKANOGAN VALLEY PROFESSIONAL PHARMACY LLC
Active
Other names
Okanogan Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT DANIELSON PHARMD (OWNER)
(509) 322-6321
Entity
Organization
Contact information
Practice address
236 N. 2ND AVE., OKANOGAN, WA 98840
(509) 422-9958
(509) 422-9998
Mailing address
PO BOX 1247, OKANOGAN, WA 98840-1247
(509) 422-9958
(509) 422-9998
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60427458
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035201
—
WA
01
—
2142898
PK
—
Enumeration date
02/10/2012
Last updated
08/12/2016
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