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NPI Code Detail

MEDICARE: CAMP RILEY DRUG CO. INC

MEDICARE: CAMP RILEY DRUG CO. 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
21835P2201XAmbulatory Care Pharmacist
3208U00000XClinical Pharmacology Physician
4332B00000XDurable Medical Equipment & Medical Supplies315001080WA
5333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235136169
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMP RILEY DRUG CO. INC
Provider Business Mailing Address
First Line : 17788 147TH ST SE
Second Line :
City : MONROE
State : WA
Zip : 98272-1030
Country : US
Telephone Number : 360-794-7351
Fax Number : 360-794-5751
Provider Business Practice Location Address
First Line : 17788 147TH ST SE
Second Line :
City : MONROE
State : WA
Zip : 98272-1030
Country : US
Telephone Number : 360-794-7351
Fax Number : 360-805-5271
Authorized Official
Title or Position : MANAGER
Name : MRS. BRIDGETT A EDGAR
Credential : MANAGER
Telephone Number : 360-794-7351
Provider Enumeration Date : 07/07/2005
Last Update Date : 08/02/2022

Similar Medicare Providers

1396786109 — BRIDGETT A EDGAR
Practice Location Address:
17788 147TH ST SE
MONROE, WA
98272-1030
Practice Phone: 360-794-7351
Practice Fax: 360-794-5751
1861433708 — KEITH J VANDERHOUWEN RPH
Practice Location Address:
17788 147TH ST SE
MONROE, WA
98272-1030
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Practice Fax: 360-794-5751
1629014832 — GARY O SMITH RPH
Practice Location Address:
17788 147TH ST SE
MONROE, WA
98272-1030
Practice Phone: 360-794-7351
Practice Fax: 360-794-5751
1811923238 — PAM DENTON
Practice Location Address:
17788 147TH ST SE
MONROE, WA
98272-1030
Practice Phone: 360-794-7351
Practice Fax:
1801826466 — BRIDGET B THORPE
Practice Location Address:
17788 147TH ST SE
MONROE, WA
98272-1030
Practice Phone: 360-794-4641
Practice Fax:
1952331597 — MRS. PAMELA S COUNSELL
Practice Location Address:
17788 147TH ST SE
MONROE, WA
98272-1030
Practice Phone: 360-794-4641
Practice Fax:

Directions to “CAMP RILEY DRUG CO. INC ” Practice Location

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