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)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