Healthcare Provider Details

I. General information

NPI: 1396756896
Provider Name (Legal Business Name): C & S PHARMACEUTICALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 06/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12911 120TH AVE NE STE E-20
KIRKLAND WA
98034-3027
US

IV. Provider business mailing address

12911 120TH AVE NE STE E-20
KIRKLAND WA
98034-3027
US

V. Phone/Fax

Practice location:
  • Phone: 425-821-8888
  • Fax: 425-821-4195
Mailing address:
  • Phone: 425-821-8888
  • Fax: 425-821-4195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHAR.CF.00056950
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CATHY DEVINE
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 425-821-8888