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Contact Information

CAMP RILEY DRUG CO. INC
17788 147TH ST SE
MONROE, WA98272-1030
 Phone: 360-794-7351
 Fax: 360-805-5271
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Ambulatory Care

1835P2201X
 

Clinical Pharmacology

208U00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

1835P0018X
Indicates primary specialty

NPI Profile & details for CAMP RILEY DRUG CO. INC

NPI Number 1235136169
LBN Legal business name CAMP RILEY DRUG CO. INC
Authorized official BRIDGETT EDGAR - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2005
Last updated 08/02/2022 - About 4 years ago
Identifiers
WA License # 315001080
WA Medicaid 6160006
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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