Healthcare Provider Details

I. General information

NPI: 1437287240
Provider Name (Legal Business Name): SHAW NEAL INVESTMENTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 SUMMITVIEW AVE STE 140
YAKIMA WA
98902-2780
US

IV. Provider business mailing address

3910 SUMMITVIEW AVE STE 140
YAKIMA WA
98902-2780
US

V. Phone/Fax

Practice location:
  • Phone: 509-966-9672
  • Fax: 509-972-8324
Mailing address:
  • Phone: 509-966-9672
  • Fax: 509-972-8324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberCF00002785
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHARLES LEE NEAL
Title or Position: PHARMACIST
Credential:
Phone: 509-966-9672