Organization
OROVILLE PHARMACY
Active
Other names
OROVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LARSON RPH (OWNER)
(509) 476-3411
Entity
Organization
Contact information
Practice address
1416 MAIN ST, OROVILLE, WA 98844-9385
(509) 476-3411
(509) 476-3773
Mailing address
PO BOX 2020, OROVILLE, WA 98844-2020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00001548
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4905456
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6058101
—
WA
Enumeration date
10/12/2006
Last updated
12/21/2011
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