Organization
PHARMADREAM INC
Active
Other names
ST JOHN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WELCH RPH (PRESIDENT)
(509) 648-3430
Entity
Organization
Contact information
Practice address
10 E FRONT ST, SAINT JOHN, WA 99171-8775
(509) 648-3430
(509) 648-3217
Mailing address
PO BOX 277, SAINT JOHN, WA 99171-0277
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60700890
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110390
PK
—
05
—
6026926
—
WA
Enumeration date
11/07/2006
Last updated
04/11/2017
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