Healthcare Provider Details

I. General information

NPI: 1659125797
Provider Name (Legal Business Name): SCHAFFNER PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
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:
Mailing address:
  • Phone: 360-853-2003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

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