Healthcare Provider Details

I. General information

NPI: 1407921216
Provider Name (Legal Business Name): COVINGTON PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17307 SE 272ND ST 124
COVINGTON WA
98042-5306
US

IV. Provider business mailing address

17307 SE 272ND ST 124
COVINGTON WA
98042-5306
US

V. Phone/Fax

Practice location:
  • Phone: 253-631-1200
  • Fax: 253-631-7147
Mailing address:
  • Phone: 253-631-1200
  • Fax: 253-631-7147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberCF00001258
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberCF00001258
License Number StateWA

VIII. Authorized Official

Name: JAMES R RAMSETH
Title or Position: OWNER
Credential: RPH
Phone: 253-631-1200