Healthcare Provider Details

I. General information

NPI: 1356160378
Provider Name (Legal Business Name): ADRIAN FRANCISCO LLAMAS-LOPEZ PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 LONGFIBRE RD
UNION GAP WA
98903-1513
US

IV. Provider business mailing address

2010 SAINT HILAIRE RD
YAKIMA WA
98901-9724
US

V. Phone/Fax

Practice location:
  • Phone: 509-454-5249
  • Fax:
Mailing address:
  • Phone: 509-731-8991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH61568898
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: