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NPI Code Detail

MEDICARE: DAVID E STOREY R.PH.

MEDICARE: DAVID E STOREY R.PH.
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
1183500000XPharmacistPH00016035WA
21835P1200XPharmacotherapy PharmacistPH00016035WA

General Provider Information

NPI Number : 1508858143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID E STOREY R.PH.
Provider Business Mailing Address
First Line : 10730 SNAKE RIVER RD
Second Line :
City : ASOTIN
State : WA
Zip : 99402-9541
Country : US
Telephone Number : 509-243-9470
Fax Number :
Provider Business Practice Location Address
First Line : 1221 HIGHLAND AVE
Second Line :
City : CLARKSTON
State : WA
Zip : 99403-2829
Country : US
Telephone Number : 509-758-5511
Fax Number : 509-758-0119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 09/11/2025

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Directions to “ DAVID E STOREY R.PH.” Practice Location

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