Organization
MIKES DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GRAEFF P.D. (PRES)
(360) 694-3354
Entity
Organization
Contact information
Practice address
8506 E. MILL PLAIN BLVD. SUITE B, VANCOUVER, WA 98664
(360) 694-3354
Mailing address
8506 E. MILL PLAIN BLVD. SUITE B, VANCOUVER, WA 98664
(360) 694-3354
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
CF00001931
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6082606
—
WA
Enumeration date
05/17/2007
Last updated
08/22/2020
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