Organization
TIETON VILLAGE DRUG INC.
Active
Other names
VILLAGE PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL LUTHER (OWNER)
(509) 961-2103
Entity
Organization
Contact information
Practice address
8401 E SPRAGUE AVE, SPOKANE VALLEY, WA 99212-2917
(509) 505-1300
(866) 934-0323
Mailing address
3708 TIETON DR, YAKIMA, WA 98902-3696
(509) 966-6850
(509) 966-2690
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2146642
—
WA
01
—
4939229
NCPDP
—
Enumeration date
07/17/2019
Last updated
04/13/2026
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