Healthcare Provider Details

I. General information

NPI: 1528441417
Provider Name (Legal Business Name): WEST OLYMPIA PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2015
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 YAUGER WAY SW STE B
OLYMPIA WA
98502-8139
US

IV. Provider business mailing address

400 YAUGER WAY SW STE B
OLYMPIA WA
98502-8140
US

V. Phone/Fax

Practice location:
  • Phone: 360-742-3340
  • Fax: 360-742-3783
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES KINLEY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 204-995-9594