Organization
TIGBHA CARE LLC
Active
Other names
OMAK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
UMESH GAJJALA (OPERATIONS MANAGER)
(509) 631-1453
Entity
Organization
Contact information
Practice address
903 ENGH RD, SUITE # A, OMAK, WA 98841-9627
(509) 422-1500
(509) 422-1514
Mailing address
903 ENGH RD, SUITE # A, OMAK, WA 98841-9627
(509) 422-1500
(509) 422-1514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2293263
—
WA
01
—
G8924213
FLU SPECIFIC MEDICARE PART B PROVIDER
WA
Enumeration date
05/15/2012
Last updated
06/09/2025
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