Lacey Square Pharmacy Inc is not a DME supplier for medicare equipments and products.
Lacey Square Pharmacy Inc is a Long Term Care Pharmacy in Lacey, Washington. It is located at 6020 Pacific Ave Se Ste C, Lacey and it's customer support contact number is 425-251-6335. The authorized person of Lacey Square Pharmacy Inc is Mr. Anderson Shawn Jolly, RPH who is President of the pharmacy and his contact number is 425-251-6335. Lacey Square Pharmacy Inc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Lacey Square Pharmacy Inc 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:
Lacey Square Pharmacy Inc
Type:
Long Term Care Pharmacy
Location:
6020 Pacific Ave Se Ste C, Lacey, Washington, 98503-1319
Phone:
425-251-6335
Fax:
425-251-6337
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. Anderson Shawn Jolly
Credentials:
RPH
Position:
President
Contact Number:
425-251-6335
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:
1750948956
NPI Enumeration Date:
22 May, 2019
NPI Last Update On:
22 May, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lacey Square Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
Primary
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
PHAR.CF.60953133
Other
Washington
Wa Pharmacy License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1412 Sw 43rd St Ste 120, Renton, Washington
Zip:
98057-4803
Phone Number:
425-251-6335
Fax Number:
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Patients can reach Lacey Square Pharmacy Inc at 6020 Pacific Ave Se Ste C, Lacey, Washington or can call on customer care at 425-251-6335.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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