Healthcare Provider Details

I. General information

NPI: 1184802985
Provider Name (Legal Business Name): PHARMACY OPERATIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 PROFESSIONAL WAY
SHELTON WA
98584-4404
US

IV. Provider business mailing address

1 RIDER TRAIL PLAZA DR STE 300
EARTH CITY MO
63045-1313
US

V. Phone/Fax

Practice location:
  • Phone: 360-426-4272
  • Fax: 360-426-6977
Mailing address:
  • Phone: 314-993-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberCF00059356
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DENA FERMAN
Title or Position: THIRD PARTY PLAN COORDINATOR
Credential:
Phone: 314-993-6000