Organization

Bridgeport Allenmore Llc

May also be knows as Rainier Pharmacy

Legal Business Name

Bridgeport Allenmore Llc

Also Known As

Rainier Pharmacy

NPI Number

1295777597

NPI Type

Organization

Enumeration Date

06/12/2006

Specialties

(Taxonomies)

Code

3336C0003X
333600000X

Primary Taxonomy

No
No

Licenses

State

Washington

License Number

CF00057481

Contact
Information

Purpose

Mailing
Location

Address

7424 BRIDGEPORT WAY W
1901 S CEDAR ST

City

Lakewood
Tacoma

State

WA
WA

Postal Code

98499-8120
98405-2308

Country

US
US

Telephone Number

N/A
(253) 582-2293

Authorized Official

Name

Robert Doud

Title or Position

OWNER

Telephone Number

(253) 238-2230

Identifiers

Identifier

6014518
4912968

Identifier State

WA
Unknown

Identifier Issuer

Unknown
OTHER ID NUMBER-COMMERCIAL NUMBER

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

Data last updated by provider on 08/22/2020

Provider Address