Tieton Village Drug Inc.
NPI #1902459100 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1902459100
- Entity Type
- Organization
- Organization Name
- Tieton Village Drug Inc.
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jul 17, 2019
- Last Updated
- Dec 28, 2020
Practice Location
- Address
- 10410 E 9TH AVE
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99206-3510
- Phone
- (509) 505-1300
Authorized Official
- Name
- PHIL LUTHER
- Title
- OWNER
- Phone
- (509) 961-2103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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