Organization
CATHLAMET PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY A LABERGE BA (PHARMACIST)
(360) 795-3691
Entity
Organization
Contact information
Practice address
74 MAIN ST, CATHLAMET, WA 98612-0218
(360) 795-3691
(360) 795-3033
Mailing address
PO BOX 218, CATHLAMET, WA 98612-0218
(360) 795-3691
(360) 795-3033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00007223
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6031207
—
WA
Enumeration date
12/13/2006
Last updated
08/22/2020
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