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Organization

ELLENSBURG DOWNTOWN PHARMACY INC

Active
Other names
DOWNTOWN HEALTH MART PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID CROSS BACH OF PHARMAC (PRESIDENT CO OWNER)
(509) 925-1514
Entity
Organization

Contact information

Practice address
414 N PEARL ST, ELLENSBURG, WA 98926-3112
(509) 925-1514
(509) 925-1545
Mailing address
414 N PEARL ST, ELLENSBURG, WA 98926-3112
(509) 925-1514
(509) 925-1545

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF00002424
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2108144
PK
Enumeration date
07/15/2006
Last updated
11/18/2014
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