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The Specialty Care Shop
Parenteral & Enteral Nutrition Supplies (DME) in Ridgefield, Washington
NPI 1356509681

The Specialty Care Shop is a Parenteral & Enteral Nutrition Supplies (DME) based in Ridgefield, WA and is specialized in Parenteral & Enteral Nutrition. The Specialty Care Shop practices in Ridgefield, WA. The NPI Number for The Specialty Care Shop is 1356509681 and holds a License No. 601756021 (Washington).

The current practice location address for The Specialty Care Shop is 1620 S Taverner Dr, Ridgefield, WA and can be reached out via phone at 360-887-4124.

Location: 1620 S Taverner Dr, Ridgefield, WA, 98642-0020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356509681
Provider Name
The Specialty Care Shop
Credential
Provider Entity Type
Organization
Address
1620 S Taverner Dr, Ridgefield, WA, 98642-0020
Phone Number
360-887-4124
Fax Number
Provider Enumeration Date
05/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9061821 05 WA
institution
Provider Business Practice Location Address Details
Address
1620 S Taverner Dr
City
Ridgefield
State
Washington
Zip
98642-7802
Phone Number
360-887-4124
Fax Number
person
Provider Business Mailing Address Details
Address
1620 S Taverner Dr
City
Ridgefield
State
Washington
Zip
98642-7802
Phone Number
360-887-4124
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
601756021 (Washington)
Definition
Definition to come...
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