Hawks Prairie Pharmacy
Pharmacy
2539 Marvin Rd Ne, Ste E, Lacey
Washington, 98516-3177
360-438-3072 360-438-3532
Hawks Prairie Pharmacy is a Pharmacy in Lacey, Washington. It is located at 2539 Marvin Rd Ne, Ste E, Lacey and it's customer support contact number is 360-438-3072. The authorized person of Hawks Prairie Pharmacy is Mr. Sunil B Thimmegowda who is Owner/pharmacist of the pharmacy and his contact number is 360-438-3072. Active license number of Hawks Prairie Pharmacy is PHAR.CF.60409528 for Pharmacy in Washington. Hawks Prairie Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Hawks Prairie Pharmacy is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Hawks Prairie Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Hawks Prairie Pharmacy |
| Type: | Pharmacy |
| Location: | 2539 Marvin Rd Ne, Ste E, Lacey,
Washington, 98516-3177 |
| Phone: | 360-438-3072 |
| Fax: | 360-438-3532 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Sunil B Thimmegowda |
| Position: | Owner/pharmacist |
| Contact Number: | 360-438-3072 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1508292707 |
| NPI Enumeration Date: | 19 Sep, 2013 |
| NPI Last Update On: | 11 Nov, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Hawks Prairie Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | PHAR.CF.60409528 | Washington | Primary | |
| Clinic/center | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Managed Care Organization Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| G8924654 | Other | Washington | Medicare Mass Immunization |
Medicare Enrollment:
Hawks Prairie Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7416184783 | O20131211001364 | Hawks Prairie Pharmacy | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 7416184783 | O20140416000576 | Hawks Prairie Pharmacy | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2539 Marvin Rd Ne, Ste E
Lacey, Washington |
| Zip: | 98516-3177 |
| Phone Number: | 360-438-3072 |
| Fax Number: | 360-438-3532 |
Patients can reach Hawks Prairie Pharmacy at
2539 Marvin Rd Ne, Ste E, Lacey, Washington or can
call on customer care at 360-438-3072.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.