Immunize RX, LLC

Organization Active NPI Pharmacist · Sumner, WA

NPI 1407081565 · NPPES record last updated Jul 21, 2013

Key facts

NPI
1407081565
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacist 183500000X
License
PH60169 (WA)
Legal business name
IMMUNIZE RX, LLC
Practice address
910 Alder Ave
Sumner, WA 98390-1406
Phone
(206) 239-3004
NPI assigned
May 19, 2009
Organization subpart
No

Authorized official

Name
Dr. Paul Warner Thompson, PHARMD NPI 1033328513
Title
President
Phone
(206) 239-3004

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
183500000X PH60169 WA Yes

Addresses

Primary practice location

910 Alder Ave
Sumner, WA 98390-1406

Mailing address

910 Alder Ave
Sumner, WA 98390-1406
Phone (206) 239-3004

Other providers in Sumner, WA

All providers in Sumner, WA · Pharmacist in Washington

Sources for this page

Verify at the official NPI Registry.