Organization
ELLENSBURG DOWNTOWN PHARMACY INC
Active
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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