MEDICARE: ARLINGTON PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHAR.CF60221948	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4917451	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1033274469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLINGTON PHARMACY INC

Provider Business Mailing Address
First Line	:	540 N WEST AVE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-1251
Country	:	US
Telephone Number	:	360-435-7691
Fax Number	:	888-575-7406

Provider Business Practice Location Address
First Line	:	9417 STATE AVE
Second Line	:
City	:	MARYSVILLE
State	:	WA
Zip	:	98270-2205
Country	:	US
Telephone Number	:	360-653-4857
Fax Number	:	360-653-5211

Authorized Official
Title or Position	:	GEN MGR
Name	:	CORY DUSKIN
Credential	:
Telephone Number	:	360-435-5771

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	01/12/2012

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Directions to “ARLINGTON PHARMACY INC ” Practice Location

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