Organization
STORMANS INC
Active
Other names
RALPHS THRIFTWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LINDBERG BSPHARM (PHARMACY MANAGER)
(360) 352-4426
Entity
Organization
Contact information
Practice address
1908 4TH AVE E, OLYMPIA, WA 98506-4632
(360) 352-4426
(360) 352-2167
Mailing address
1908 4TH AVE E, SUITE A, OLYMPIA, WA 98506-4632
(360) 352-4426
(360) 352-2167
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00002189
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106968
PK
—
05
—
6125603
—
WA
Enumeration date
10/03/2006
Last updated
03/09/2017
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