South Park Rexall Pharmacy, Inc.

NPI #1437256278 in Port Orchard, Washington

Provider Information

NPI Number
1437256278
Entity Type
Organization
Organization Name
South Park Rexall Pharmacy, Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 20, 2006
Last Updated
May 4, 2011

Practice Location

Address
1743 VILLAGE LN SE
ZIP Code
98366-2643
Phone
(360) 871-1020

Authorized Official

Name
KENNETH PASKETT, RPH
Title
OWNER
Phone
(360) 871-1020

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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