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General NPI Number Information
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NPI Number | 1811299274
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Entity Type | Organization
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Legal Business Name | JRK PHARMA INC
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 21701 76TH AVE W STE 104B
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City | EDMONDS
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State | WA
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Zip | 98026-7536
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Country | US
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Telephone | 425-563-6381
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Fax | 425-563-6385
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Provider Business Mailing Address
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Address Line | 21701 76TH AVE W STE 104B
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City | EDMONDS
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State | WA
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Zip | 98026-7536
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Country | US
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Telephone | 425-563-6381
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Fax | 425-563-6385
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Authorized Official
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Title or Position | OWNER
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Name | KRIS ARUMILLI
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Credential |
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Telephone | 425-563-6381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 60180649
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License Number State | WA
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