Organization
PORT TOWNSEND PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK K O'DONNELL PHARMD (OWNER/PHARMACIST IN CHARGE)
(360) 280-0465
Entity
Organization
Contact information
Practice address
1151 WATER ST, PORT TOWNSEND, WA 98368-6707
(360) 385-0969
(360) 385-2843
Mailing address
821 S 38TH ST, TACOMA, WA 98418-5028
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604-546-965
STATE OF WASHINGTON UBI (STATE BUSINESS NUMBER)
WA
Enumeration date
12/02/2020
Last updated
12/02/2020
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