location
search-icon
institution
Professional Mall Pharmacy Inc
Compounding Pharmacy in Pullman, Washington
NPI 1669559530

Professional Mall Pharmacy Inc is a Compounding Pharmacy based in Pullman, WA and is specialized in Compounding Pharmacy. Professional Mall Pharmacy Inc practices in Pullman, WA. The NPI Number for Professional Mall Pharmacy Inc is 1669559530 and holds a License No. (Washington).

The current practice location address for Professional Mall Pharmacy Inc is 825 Se Bishop Blvd, Pullman, WA and can be reached out via phone at 509-332-4608 and via fax at 509-332-3341.

Location: 825 Se Bishop Blvd, Pullman, WA, 99163-5517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669559530
Provider Name
Professional Mall Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
825 Se Bishop Blvd, Pullman, WA, 99163-5517
Phone Number
509-332-4608
Fax Number
509-332-3341
Provider Enumeration Date
10/31/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4328400 05 ID
4905836 01 NCPDP PROVIDER IDENTIFICATION NUMBER
6564307 05 WA
institution
Provider Business Practice Location Address Details
Address
825 Se Bishop Blvd
City
Pullman
State
Washington
Zip
99163-5517
Phone Number
509-332-4608
Fax Number
509-332-3341
person
Provider Business Mailing Address Details
Address
825 Se Bishop Blvd
City
Pullman
State
Washington
Zip
99163-5517
Phone Number
509-332-4608
Fax Number
509-332-3341
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
CF00001254 (Washington)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.