Organization · NPI-2
Ancillary Medical Services INC
Pharmacy, Community/Retail Pharmacy · Mount Vernon, WA
NPI number1184755282
StatusActive
Last updated in NPPESSep 12, 2007
Details
- NPI
- 1184755282
- Entity type
- Organization (NPI-2)
- Legal business name
- Ancillary Medical Services INC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2007
- Last updated
- Sep 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | CF00002292 | WA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- The Condensery Pharmacy (Doing Business As)
Practice location
117 N 1st StMount Vernon, WA 98273-2859
Phone 360-336-2102 · Fax 360-336-2103
Mailing address
117 N 1st StMount Vernon, WA 98273-2859
Authorized official
William Moultray
Mgr Ceo And Pharmacist
3603362102
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