Nooksack Valley Drug Store LLC
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Everson, WA. Organization (NPI-2).
NPI number1184764458
StatusActive
Last updated in NPPESFeb 10, 2023
Details
- NPI
- 1184764458
- Entity type
- Organization (NPI-2)
- Legal business name
- Nooksack Valley Drug Store LLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2007
- Certification date
- Feb 10, 2023
- Last updated
- Feb 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Valley Drug (Doing Business As)
Practice location
208 E Main StEverson, WA 98247-0307
Phone 360-966-3481 · Fax 360-966-3083
Mailing address
Po Box 307208 E Main St
Everson, WA 98247-0307
Phone 360-966-3481 · Fax 360-966-3083
Authorized official
Meagan Kammenga
Owner
3609663481
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