14th Avenue Pharmacy Inc.
NPI #1437193547 in Pasco, Washington
Provider Information
- NPI Number
- 1437193547
- Entity Type
- Organization
- Organization Name
- 14th Avenue Pharmacy Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1200 N 14TH AVE
- City
- Pasco
- State
- Washington
- ZIP Code
- 99301-4192
- Phone
- (509) 547-8360
Authorized Official
- Name
- SCOTT LOUDERBACK
- Title
- PRESIDENT
- Phone
- (402) 489-1135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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