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NPI Code Detail

MEDICARE: CAMMACKS PHARMACIES INC

MEDICARE: CAMMACKS PHARMACIES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0004XCompounding Pharmacy
43336S0011XSpecialty Pharmacy
53336C0003XCommunity/Retail PharmacyPHARCF00057963WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12108181OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548205776
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMMACKS PHARMACIES INC
Provider Business Mailing Address
First Line : PO BOX 220
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-0035
Country : US
Telephone Number : 360-452-4200
Fax Number : 360-457-6557
Provider Business Practice Location Address
First Line : 424 E 2ND ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-3119
Country : US
Telephone Number : 360-452-4200
Fax Number : 360-457-6557
Authorized Official
Title or Position : OWNER
Name : JOSEPH CAMMACK
Credential : RPH
Telephone Number : 360-452-4200
Provider Enumeration Date : 06/19/2006
Last Update Date : 04/09/2020

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PORT ANGELES, WA
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1922355072 — BRIGHAM R CONSOLIVER RPH
Practice Location Address:
424 E 2ND ST
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98362-3119
Practice Phone: 360-452-4200
Practice Fax: 360-457-6557

Directions to “CAMMACKS PHARMACIES INC ” Practice Location

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