Organization
BROWN & COLE STORES LLC
Active
Other names
Mt Vernon Food Pavilion #15 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE RASMUSSON (PHARMACY COORDINATOR)
(360) 714-7749
Entity
Organization
Contact information
Practice address
1515 N 18TH ST, MOUNT VERNON, WA 98273-2675
(360) 428-3663
(360) 428-0251
Mailing address
1323 COMMERCIAL ST, BELLINGHAM, WA 98225-4307
(360) 714-7718
(360) 714-7811
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00057037
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6020549
—
WA
Enumeration date
01/19/2007
Last updated
09/09/2009
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