=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356481097
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A W S INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/08/2007
-----------------------------------------------------
Last Update Date | 10/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 206 E WALNUT ST
-----------------------------------------------------
City | WINLOCK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98596-9419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-785-4711
-----------------------------------------------------
Fax | 360-785-3109
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 206 E WALNUT ST PO BOX 536
-----------------------------------------------------
City | WINLOCK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98596-9419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-785-4711
-----------------------------------------------------
Fax | 360-785-3109
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | RALEIGH GENE STONE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 360-785-4610
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | 600298836
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------