Organization
TIETON VILLAGE DRUG INC.
Active
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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