Healthcare Provider Details

I. General information

NPI: 1174638126
Provider Name (Legal Business Name): AKERS UNITED DRUG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 N PARK ST
CHEWELAH WA
99109-8972
US

IV. Provider business mailing address

PO BOX 136
CHEWELAH WA
99109-0136
US

V. Phone/Fax

Practice location:
  • Phone: 509-935-8441
  • Fax: 509-935-8406
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
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 NumberPHAR.CF.00002921
License Number StateWA

VIII. Authorized Official

Name: DEBBIE AKERS
Title or Position: OWNER
Credential:
Phone: 509-935-8441