Organization
4K PHARMS, LLC
Active
Other names
Davenport Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYNN JOHNSON PHARMD (OWNER)
(509) 725-1151
Entity
Organization
Contact information
Practice address
525 MORGAN ST, DAVENPORT, WA 99122
(509) 725-1151
(509) 725-3028
Mailing address
PO BOX 67, DAVENPORT, WA 99122-0067
(509) 725-1151
(509) 725-3028
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF60393297
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141887
PK
—
Enumeration date
09/14/2006
Last updated
05/29/2025
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