Soas LLC

Organization Active NPI Community/Retail Pharmacy · La Conner, WA

NPI 1265454292 · NPPES record last updated Aug 11, 2022

Key facts

NPI
1265454292
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
CF0058579 (WA)
Legal business name
SOAS LLC
Practice address
708 E Morris St
La Conner, WA 98257
Phone
(360) 466-3124
Fax
(360) 466-4775
NPI assigned
Jul 25, 2006
Organization subpart
No

Authorized official

Name
Aaron Syring, PHARMD
Title
Owner
Phone
(360) 675-6688

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
1835P0018X
Clinic/Center 261Q00000X
Community/Retail Pharmacy 3336C0003X CF0058579 WA Yes
Long Term Care Pharmacy 3336L0003X CF0058579 WA

Addresses

Primary practice location

708 E Morris St
La Conner, WA 98257

Mailing address

PO Box 477
La Conner, WA 98257-0477
Phone (360) 466-3124

Other identifiers

IdentifierTypeStateIssuer
6029045MedicaidWA
4904442OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other providers in La Conner, WA

All providers in La Conner, WA · Community/Retail Pharmacy in Washington

Sources for this page

Verify at the official NPI Registry.