Organization
PRESCRIPTION PHARMACY
Active
Other names
PRESCRIPTION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KUCH (OWNER)
(509) 943-9121
Entity
Organization
Contact information
Practice address
800 SWIFT BLVD STE 160, STE 160, RICHLAND, WA 99352-3559
(509) 943-9121
(509) 946-9356
Mailing address
1334 JADWIN AVE, RICHLAND, WA 99354-3404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262010305340
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4900177
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6116800
—
WA
Enumeration date
08/31/2006
Last updated
01/12/2009
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