Organization
SHOALWATER BAY PHARMACY
Active
Other names
Pharmacy By The Bay
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY SCHMIDT PHARM.D. (PHARMACIST IN CHARGE)
(360) 267-8217
Entity
Organization
Contact information
Practice address
2373 TOKELAND ROAD, BUILDING E, SUITE 145, TOKELAND, WA 98590
(360) 267-8217
(360) 267-0568
Mailing address
2373 TOKELAND ROAD, BLDG E, STE 145, P.O. BOX 540, TOKELAND, WA 98590
(360) 267-8217
(360) 267-0568
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00059154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF00059154
STATE LICENSE NUMBER
WA
Enumeration date
08/20/2007
Last updated
08/20/2007
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