Organization · NPI-2

Brown & Cole Stores LLC

Pharmacy, Community/Retail Pharmacy · Mount Vernon, WA

NPI number1811040918
StatusActive
Last updated in NPPESSep 9, 2009

Details

NPI
1811040918
Entity type
Organization (NPI-2)
Legal business name
Brown & Cole Stores LLC
Organization subpart
No
Enumeration date
Jan 19, 2007
Last updated
Sep 9, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyCF00057037WAYes

Other names

  • Mt Vernon Food Pavilion #15 Pharmacy (Doing Business As)

Practice location

1515 N 18th St
Mount Vernon, WA 98273-2675

Phone 360-428-3663 · Fax 360-428-0251

Mailing address

1323 Commercial St
Bellingham, WA 98225-4307

Phone 360-714-7718 · Fax 360-714-7811

Authorized official

Dave Rasmusson
Pharmacy Coordinator
3607147749

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