MEDICARE: ZILLAH DRUG STORE 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	CF00005195	WA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4910534	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891853925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZILLAH DRUG STORE INC

Provider Business Mailing Address
First Line	:	PO BOX 565
Second Line	:
City	:	ZILLAH
State	:	WA
Zip	:	98953-0565
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	607 1ST AVE
Second Line	:
City	:	ZILLAH
State	:	WA
Zip	:	98953-0565
Country	:	US
Telephone Number	:	509-829-5691
Fax Number	:	509-829-5691

Authorized Official
Title or Position	:	OWNER PRES
Name	:	LLOYD SMITH
Credential	:
Telephone Number	:	509-829-5691

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1023976552 — LOGAN TYLER CAMACHO
Practice Location Address:

607 1ST AVE
ZILLAH, WA
98953-9433

Practice Phone: 509-829-5757
Practice Fax: 509-829-5051

1972597391 — DR. SCOTT JAMES CARMACK D.C.
Practice Location Address:

513 1ST AVE
ZILLAH, WA
98953-9432

Practice Phone: 509-829-6101
Practice Fax: 509-829-6101

1750355020 — DR. WALLACE ALVIN DONALDSON M.D.
Practice Location Address:

102 6TH ST
ZILLAH, WA
98953-9442

Practice Phone: 509-829-5699
Practice Fax: 509-829-6366

1609894963 — DR. STEPHEN PAUL HARRISON DDS
Practice Location Address:

781 ROZA DR
ZILLAH, WA
98953-9351

Practice Phone: 509-829-5466
Practice Fax: 509-829-5038

1639283435 — ZILLAH SCHOOL DISTRICT
Practice Location Address:

303 2ND AVE
ZILLAH, WA
98953-9543

Practice Phone: 509-829-5555
Practice Fax: 509-829-3575

1417008178 — DR. MICHAEL PATRICK WOODS O. D.
Practice Location Address:

915 VINTAGE VALLEY PARKWAY , SUITE 100
ZILLAH, WA
98953

Practice Phone: 509-865-2777
Practice Fax: 509-865-4021

Directions to “ZILLAH DRUG STORE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.