Organization
JRK PHARMA INC
Active
Other names
Edmonds Pharmacy @ Stevens Health Center LTC
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS ARUMILLI (OWNER)
(425) 563-6381
Entity
Organization
Contact information
Practice address
21701 76TH AVE W STE 104B, EDMONDS, WA 98026-7536
(425) 563-6381
(425) 563-6385
Mailing address
21701 76TH AVE W STE 104B, EDMONDS, WA 98026-7536
(425) 563-6381
(425) 563-6385
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
60180649
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025334
—
WA
01
—
2127035
PK
—
Enumeration date
11/17/2010
Last updated
09/19/2025
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