Mikes Eastside Drugs
Durable Medical Equipment & Medical Supplies in Vancouver, WA. Organization (NPI-2).
NPI number1497975619
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1497975619
- Entity type
- Organization (NPI-2)
- Legal business name
- Mikes Eastside Drugs
- Organization subpart
- No
- Enumeration date
- Apr 27, 2007
- Last updated
- Aug 22, 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 |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | CF00001931 | WA | Yes |
Practice location
8506 E Mill Plain BlvdVancouver, WA 98664-2011
Phone 360-694-0800
Mailing address
8506 E Mill Plain BlvdVancouver, WA 98664-2011
Phone 360-694-0800
Authorized official
Michael Graeff
Pres
3606940800
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