Healthcare Provider Details

I. General information

NPI: 1841677903
Provider Name (Legal Business Name): AKERS UNITED DRUG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2015
Last Update Date: 04/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

358 N MAIN ST C/O COLVILLE COMMUNITY HEALTH CENTER
COLVILLE WA
99114
US

IV. Provider business mailing address

PO BOX 136
CHEWELAH WA
99109-0136
US

V. Phone/Fax

Practice location:
  • Phone: 509-684-1440
  • Fax: 509-935-8406
Mailing address:
  • Phone: 509-935-8441
  • Fax: 509-935-8406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberCF60557669
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberCF60557669
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberCF60557669
License Number StateWA

VIII. Authorized Official

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