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
- Title
- President
- Phone
- (206) 239-3004
Practitioners 1
-
Paul Warner Thompson, PHARM.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2013. 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.