Pine Family Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Sunnyside, WA. Organization (NPI-2).
NPI number1952015109
StatusActive
Last updated in NPPESFeb 19, 2023
Details
- NPI
- 1952015109
- Entity type
- Organization (NPI-2)
- Legal business name
- Pine Family Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jan 12, 2023
- Certification date
- Feb 19, 2023
- Last updated
- Feb 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Doctor'S Pharmacy (Doing Business As)
Practice location
2240 E Lincoln AveSunnyside, WA 98944-2487
Phone 509-400-4700 · Fax 509-213-2819
Mailing address
1715 W Kennewick AveKennewick, WA 99336-3378
Phone 509-400-4700 · Fax 509-213-2819
Authorized official
Reddy Annappareddy
Ceo
5098410000
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