MEDICARE: PANORAMA PHARMACY INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3336C0002X	Clinic Pharmacy
2	3336L0003X	Long Term Care Pharmacy
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1689427346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PANORAMA PHARMACY INC

Provider Business Mailing Address
First Line	:	2539 MARVIN RD NE STE E
Second Line	:
City	:	LACEY
State	:	WA
Zip	:	98516-3175
Country	:	US
Telephone Number	:	360-438-3072
Fax Number	:

Provider Business Practice Location Address
First Line	:	1751 CIRCLE LN SE
Second Line	:
City	:	LACEY
State	:	WA
Zip	:	98503-2570
Country	:	US
Telephone Number	:	360-438-3072
Fax Number	:	360-438-3532

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SUNIL THIMMEGOWDA
Credential	:
Telephone Number	:	360-438-3072

Provider Enumeration Date	:	04/10/2024
Last Update Date	:	07/20/2024

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Directions to “PANORAMA PHARMACY INC ” Practice Location

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