Healthcare Provider Details

I. General information

NPI: 1083742340
Provider Name (Legal Business Name): ARLINGTON PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 08/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3823 172ND ST NE
ARLINGTON WA
98223-7735
US

IV. Provider business mailing address

540 N WEST AVE
ARLINGTON WA
98223-1251
US

V. Phone/Fax

Practice location:
  • Phone: 360-653-2500
  • Fax: 360-659-7020
Mailing address:
  • Phone: 360-653-2500
  • Fax: 888-529-0534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberCF60270531
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHAD CROSBY
Title or Position: PHARMACIST
Credential:
Phone: 360-653-2500