1952486185 NPI number — COPES PHARMACY

Table of content: (NPI 1952486185)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952486185 NPI number — COPES PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COPES PHARMACY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952486185
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/15/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 549
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORTING
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98360-0549
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-893-2117
Provider Business Mailing Address Fax Number:
360-893-8888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
134 WASHINGTON AVE S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORTING
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98360-9802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-893-2117
Provider Business Practice Location Address Fax Number:
360-893-8888
Provider Enumeration Date:
10/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COPE
Authorized Official First Name:
SHIRLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/TECH
Authorized Official Telephone Number:
360-893-2117

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  CF00000162 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6143507 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2106976 . This is a "PK" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com