Healthcare Provider Details

I. General information

NPI: 1629939442
Provider Name (Legal Business Name): WHOLE HEALTH PHARMACY CLE ELUM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 W 1ST ST
CLE ELUM WA
98922-1515
US

IV. Provider business mailing address

800 S PEARL ST
ELLENSBURG WA
98926-3646
US

V. Phone/Fax

Practice location:
  • Phone: 509-988-0444
  • Fax: 509-925-6900
Mailing address:
  • Phone: 509-925-6800
  • Fax: 509-925-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RYAN SCHEFFELMAIER
Title or Position: CO-OWNER
Credential:
Phone: 509-607-1370