Organization
TIETON VILLAGE DRUGS INC
Active
Organization
TIETON VILLAGE DRUGS INC
Active
Other names
TERRACE VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DAVIS (GM)
(509) 469-3198
Entity
Organization
Contact information
Practice address
4040 TERRACE HEIGHTS DR, STE 120, YAKIMA, WA 98901-1424
(509) 248-3311
(509) 248-3322
Mailing address
3708 TIETON DR, YAKIMA, WA 98902-3664
(509) 469-3198
(509) 469-3205
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00058481
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108645
PK
—
05
—
6028955
—
WA
Enumeration date
07/22/2006
Last updated
09/17/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up