La Conner Drug Store
NPI #1689668451 in La Conner, Washington
Provider Information
- NPI Number
- 1689668451
- Entity Type
- Organization
- Organization Name
- La Conner Drug Store
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 7, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 708 E MORRIS ST
- City
- La Conner
- State
- Washington
- ZIP Code
- 98257-0477
- Phone
- (360) 466-3124
Authorized Official
- Name
- MR. FREDERICK SANDERS MARTIN, RPH
- Title
- PHARMACIST STORE OWNER
- Phone
- (360) 466-3124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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