Organization
SANDPOINT CLINIC PHARMACY INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN DAFFORN RPH (OWNER AND PHARMACIST)
(425) 392-8650
Entity
Organization
Contact information
Practice address
450 NW GILMAN BLVD, STE 107, ISSAQUAH, WA 98027-2483
(425) 392-8650
(425) 391-8624
Mailing address
450 NW GILMAN BLVD, STE 107, ISSAQUAH, WA 98027-2483
(425) 392-8650
(425) 391-8624
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00003564
WA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4919330
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6006934
—
WA
Enumeration date
03/08/2007
Last updated
01/31/2010
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