Healthcare Provider Details

I. General information

NPI: 1467966457
Provider Name (Legal Business Name): SCHAFFNER PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 07/22/2022
Certification Date: 04/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 FERRY ST
SEDRO WOOLLEY WA
98284-1412
US

IV. Provider business mailing address

339 FERRY ST
SEDRO WOOLLEY WA
98284-1412
US

V. Phone/Fax

Practice location:
  • Phone: 360-853-2003
  • Fax: 360-853-2004
Mailing address:
  • Phone: 360-853-2003
  • Fax: 360-853-2004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHAR.CF.60816118
License Number StateWA

VIII. Authorized Official

Name: CHRISTOPHER J SCHAFFNER
Title or Position: OWNER
Credential:
Phone: 360-853-2003