Organization
CHENEY OWL PHARMACY INC
Active
Other names
CHENEY OWL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GOYKE PHARMD (OWNER/PRESIDENT)
(509) 235-8441
Entity
Organization
Contact information
Practice address
120 F ST, CHENEY, WA 99004-1630
(509) 235-8441
(509) 235-8446
Mailing address
120 F ST, CHENEY, WA 99004-1630
(509) 235-8441
(509) 235-8446
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF00001212
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107793
PK
—
05
—
6058903
—
WA
Enumeration date
11/01/2006
Last updated
03/11/2024
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