Organization
FIVE CORNERS PHARMACY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY EVANS (OWNER)
(425) 776-0168
Entity
Organization
Contact information
Practice address
8404 BOWDOIN WAY, STE B, EDMONDS, WA 98026-7322
(425) 776-0168
(425) 776-0160
Mailing address
8404 BOWDOIN WAY, STE B, EDMONDS, WA 98026-7322
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
FL00057301
WA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4930031
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6026462
—
WA
Enumeration date
09/06/2006
Last updated
09/11/2025
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