Healthcare Provider Details

I. General information

NPI: 1356481097
Provider Name (Legal Business Name): A W S INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 E WALNUT ST
WINLOCK WA
98596-9419
US

IV. Provider business mailing address

206 E WALNUT ST PO BOX 536
WINLOCK WA
98596-9419
US

V. Phone/Fax

Practice location:
  • Phone: 360-785-4711
  • Fax: 360-785-3109
Mailing address:
  • Phone: 360-785-4711
  • Fax: 360-785-3109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number600298836
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RALEIGH GENE STONE
Title or Position: OWNER
Credential:
Phone: 360-785-4610