Organization
COWLITZ PHARMACY INC.
Active
Other names
Olympic Drug #1158
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WINFIELD F MUFFETT III RPH (OWNER)
(360) 693-5879
Entity
Organization
Contact information
Practice address
1244 15TH AVE, LONGVIEW, WA 98632-3023
(360) 423-3360
(360) 423-3364
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 213-2236
(360) 213-2238
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF00058295
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4904579
NCPDP
—
05
—
6028435
—
WA
Enumeration date
03/23/2006
Last updated
11/20/2009
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