Huttula Enterprises INC
Pharmacy, Community/Retail Pharmacy in McCleary, WA. Organization (NPI-2).
NPI number1124480074
StatusActive
Last updated in NPPESNov 12, 2020
Details
- NPI
- 1124480074
- Entity type
- Organization (NPI-2)
- Legal business name
- Huttula Enterprises INC
- Organization subpart
- No
- Enumeration date
- Mar 21, 2016
- Certification date
- Nov 12, 2020
- Last updated
- Nov 12, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | phar.cf.60625079 | WA | Yes |
| 333600000X | Pharmacy | – | – |
Practice location
115 W Simpson AveMcCleary, WA 98557
Phone 360-495-0700 · Fax 360-495-0011
Mailing address
Po Box 88McCleary, WA 98557-0088
Phone 360-495-0700 · Fax 360-495-0011
Authorized official
Tom Huttula
Owner, President, Pic, Ao
3604950700
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