Organization

Eastmont Pharmacy Inc

May also be knows as Eastmont Pharmacy

Community/Retail Pharmacy in E Wenatchee, WA(View on Map)

Legal Business Name

Eastmont Pharmacy Inc

Also Known As

Eastmont Pharmacy

NPI Number

1104831726

NPI Type

Organization

Enumeration Date

07/30/2006

Specialties

(Taxonomies)

Code

3336C0003X
333600000X

Primary Taxonomy

Yes
No

Licenses

State

Washington

License Number

CF00004184

Contact
Information

Purpose

Mailing
Location

Address

630 VALLEY MALL PKWY
630 VALLEY MALL PKWY

City

E Wenatchee
E Wenatchee

State

WA
WA

Postal Code

98802-4838
98802-4838

Country

US
US

Telephone Number

(509) 884-7254
(509) 884-7254

Authorized Official

Name

Mike Holliday

Title or Position

COOWNER

Telephone Number

(509) 884-7254

Identifiers

Identifier

4903298

Identifier State

Unknown

Identifier Issuer

NCPDP PROVIDER IDENTIFICATION NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/19/2009

Provider Address

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