MEDICARE: INDEPENDENT PHARMACIST RELIEF SERVICES

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336L0003X	Long Term Care Pharmacy
4	3336C0003X	Community/Retail Pharmacy	PHARCF00058197	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2107015	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538101001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENT PHARMACIST RELIEF SERVICES

Provider Business Mailing Address
First Line	:	209 W MAIN AVE
Second Line	:	P.O. BOX 43
City	:	RITZVILLE
State	:	WA
Zip	:	99169-1409
Country	:	US
Telephone Number	:	509-659-0250
Fax Number	:	509-659-1763

Provider Business Practice Location Address
First Line	:	209 W MAIN AVE
Second Line	:
City	:	RITZVILLE
State	:	WA
Zip	:	99169-1409
Country	:	US
Telephone Number	:	509-659-0250
Fax Number	:	509-659-1763

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CORRINA GRAY
Credential	:	PHARMD
Telephone Number	:	509-659-0250

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	09/19/2025

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Directions to “INDEPENDENT PHARMACIST RELIEF SERVICES ” Practice Location

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