institution
Lacey Square Pharmacy Inc
Long Term Care Pharmacy in Lacey, Washington
NPI 1750948956

Lacey Square Pharmacy Inc is a Long Term Care Pharmacy based in Renton, WA and is specialized in Long Term Care Pharmacy. Lacey Square Pharmacy Inc practices in Lacey, WA. The NPI Number for Lacey Square Pharmacy Inc is 1750948956 and holds a License No. (Washington).

The current practice location address for Lacey Square Pharmacy Inc is 6020 Pacific Ave Se Ste C, Lacey, WA and can be reached out via phone at 425-251-6335 and via fax at 425-251-6337. You can also correspond with Lacey Square Pharmacy Inc through the mailing address at 1412 SW 43RD ST STE 120, RENTON, WA - 98057-4803 (mailing address contact number: 425-251-6335).

Location: 6020 Pacific Ave Se Ste C, Lacey, WA, 98057-4803
institution
Provider Profile Details
NPI Number
1750948956
Provider Name
Lacey Square Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
6020 Pacific Ave Se Ste C, Lacey, WA, 98057-4803
Phone Number
425-251-6335
Fax Number
425-251-6337
Provider Enumeration Date
05/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHAR.CF.60953133 01 WA WA PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
6020 Pacific Ave Se Ste C
City
State
Zip
98503-1319
Phone Number
425-251-6335
Fax Number
425-251-6337
person
Provider Business Mailing Address Details
Address
6020 Pacific Ave Se Ste C
City
State
Zip
98503-1319
Phone Number
425-251-6335
Fax Number
425-251-6337
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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