Organization
BATES DRUG STORES INC
Active
Other names
BATES PHARMACEUTICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CORDIER (PRES CEO)
(509) 489-4500
Entity
Organization
Contact information
Practice address
3704 N NEVADA ST, STE B, SPOKANE, WA 99207-2968
(509) 489-4500
(509) 489-4330
Mailing address
3704 N NEVADA ST, STE B, SPOKANE, WA 99207-2968
(509) 489-4500
(509) 489-4330
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
CF00057935
WA
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108574
PK
—
05
—
6028583
—
WA
Enumeration date
10/20/2006
Last updated
03/30/2016
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