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General NPI Number Information
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NPI Number | 1962614578
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Entity Type | Organization
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Legal Business Name | RAYMOND UNITED DRUG LLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 707 WILLAPA PLACE
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City | RAYMOND
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State | WA
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Zip | 98577
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Country | US
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Telephone | 360-942-2153
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Fax | 360-942-2939
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Provider Business Mailing Address
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Address Line | PO BOX 669 707 WILLAPA PLACE
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City | RAYMOND
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State | WA
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Zip | 98577
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Country | US
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Telephone | 360-942-2153
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Fax | 360-942-2939
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. RONALD GENE BRUMMEL
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Credential | RPH
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Telephone | 360-942-2153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH00009276
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | CF00001111
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License Number State | WA
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