Nooksack Valley Drug Store LLC
NPI #1700466356 in Everson, Washington
Provider Information
- NPI Number
- 1700466356
- Entity Type
- Organization
- Organization Name
- Nooksack Valley Drug Store LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Apr 8, 2021
- Last Updated
- Jun 26, 2021
Practice Location
- Address
- 208 E MAIN ST
- City
- Everson
- State
- Washington
- ZIP Code
- 98247-9126
- Phone
- (360) 966-3481
Authorized Official
- Name
- SCOTT A MITCHELL, RPH
- Title
- OWNER/MEMBER
- Phone
- (360) 303-5451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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