Heddens Pharmacy Inc
Organization Active NPI Long Term Care Pharmacy · Tenino, WA
NPI 1124772850 · NPPES record last updated Feb 10, 2022
Key facts
- NPI
- 1124772850
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- HEDDENS PHARMACY INC
- Practice address
- 196 Sussex Ave W
Tenino, WA 98589-9327 - Phone
- (360) 264-2575
- Fax
- (360) 264-5039
- NPI assigned
- Feb 10, 2022
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Shane Harrell, PHARMD
- Title
- President
- Phone
- (360) 264-2575
Corporate family (same tax ID) 1
Practitioners 5
-
Brian Ray Hedden, RPH
-
Shirley Jeanne Johnson, R.PH.
-
Kennedy Marie Erickson, PHARMD
-
Courtney Morgan Quinby, PHARMD
-
William Alexander Quinby, PHARMD.
National Provider Directory
- Tax ID family
- Hedden'S Pharmacy
Locations
196 Sussex Ave W
Tenino, WA 98589
Phone (360) 264-2575
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
196 Sussex Ave W
Tenino, WA 98589-9327
Mailing address
PO Box B
Ilwaco, WA 98624-0167
Other names
- Hedden's Pharmacy
Other providers in Tenino, WA
- Samantha Davis
- Amy Jo Dupuis
- Brad E. Ellisor
- Gay M Jensen, RDH, PLLC
- Brian Ray Hedden
- Heddens Pharmacy Inc
- Jessica Hemley
- Irene Fern Hunter
- Chasity Daugherty7 Johnson
- Shirley Jeanne Johnson
All providers in Tenino, WA · Long Term Care Pharmacy in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.