Healthcare Provider Details
I. General information
NPI: 1437328804
Provider Name (Legal Business Name): PHARMACY OPERATIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/29/2008
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1327 W NORTHWEST BLVD
SPOKANE WA
99205-4315
US
IV. Provider business mailing address
1 RIDER TRAIL PLAZA DR SUITE 300
EARTH CITY MO
63045-1313
US
V. Phone/Fax
- Phone: 509-327-1504
- Fax: 509-327-1505
- Phone: 314-993-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | CF60002845 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/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