Organization
HORENS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES REED (PRESIDNET)
(360) 755-0441
Entity
Organization
Contact information
Practice address
130 E FAIRHAVEN AVE, BURLINGTON, WA 98233-1740
(360) 755-0441
(360) 755-0627
Mailing address
PO BOX 316, BURLINGTON, WA 98233-0316
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00003748
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4920612
OTHER ID NUMBER
—
05
—
6145908
—
WA
Enumeration date
08/20/2006
Last updated
07/10/2008
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