Organization
MEDICINE MART 4TH AVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MURDOCK (PRESIDENT)
(509) 457-2412
Entity
Organization
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 457-2412
(509) 575-4236
Mailing address
402 S 4TH AVE, YAKIMA, WA 98902-3546
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF00056127
WA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4926323
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6021224
—
WA
Enumeration date
08/31/2006
Last updated
09/11/2025
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