MEDICARE: ARLINGTON PHARMACY 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
1	3336L0003X	Long Term Care Pharmacy	CF60271109	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2108270	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821126020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLINGTON PHARMACY INC

Provider Business Mailing Address
First Line	:	540 N WEST AVE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-1251
Country	:	US
Telephone Number	:	360-435-5771
Fax Number	:	360-435-2155

Provider Business Practice Location Address
First Line	:	9417 STATE AVE
Second Line	:
City	:	MARYSVILLE
State	:	WA
Zip	:	98270-2205
Country	:	US
Telephone Number	:	360-659-5919
Fax Number	:	360-651-8704

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	CORY DUSKIN
Credential	:	RPH
Telephone Number	:	360-435-7691

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	08/21/2013

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Directions to “ARLINGTON PHARMACY INC ” Practice Location

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