National Provider Identifier Database

HAWKS PRAIRIE PHARMACY
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

HAWKS PRAIRIE PHARMACY
2539 MARVIN RD NE
STE E
LACEY, WA98516-3177
Phone: 360-438-3072
Fax: 360-438-3532
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Clinic/Center 261Q00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Managed Care Organization Pharmacy 3336M0003X

* Indicates primary specialty

NPI Profile & details for HAWKS PRAIRIE PHARMACY

NPI Number 1508292707
Legal business name
LBN
HAWKS PRAIRIE PHARMACY
Authorized official SUNIL THIMMEGOWDA - (OWNER/PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 09/19/2013
Last updated 11/11/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: PHAR.CF.60409528
  • WA Other: G8924654 MEDICARE MASS IMMUNIZATION

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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