Professional Mall Pharmacy Inc
Community/Retail Pharmacy
825 Se Bishop Blvd, Ste 301, Pullman
Washington, 99163-5517
509-332-4608 509-332-3341
Professional Mall Pharmacy Inc is a Community/Retail Pharmacy in Pullman, Washington. It is located at 825 Se Bishop Blvd, Ste 301, Pullman and it's customer support contact number is 509-332-4608. The authorized person of Professional Mall Pharmacy Inc is Darcy Linderman who is Office Manager of the pharmacy and his contact number is 509-332-0630. Active license number of Professional Mall Pharmacy Inc is CF00001254 for Community/Retail Pharmacy in Washington. Professional Mall Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Professional Mall Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Professional Mall 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: | Professional Mall Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 825 Se Bishop Blvd, Ste 301, Pullman,
Washington, 99163-5517 |
| Phone: | 509-332-4608 |
| Fax: | 509-332-3341 |
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: | Darcy Linderman |
| Position: | Office Manager |
| Contact Number: | 509-332-0630 |
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: | 1669559530 |
| NPI Enumeration Date: | 31 Oct, 2006 |
| NPI Last Update On: | 05 May, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Professional Mall Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | CF00001254 | Washington | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| 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 |
| 4328400 | Medicaid | Idaho | |
| 4905836 | Other | | Ncpdp Provider Identification Number |
| 6564307 | Medicaid | Washington | |
Medicare Enrollment:
Professional Mall Pharmacy Inc 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 |
| 8224003223 | O20040901001058 | Professional Mall Pharmacy Inc | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 825 Se Bishop Blvd, Suite 301
Pullman, Washington |
| Zip: | 99163-5517 |
| Phone Number: | -- |
Patients can reach Professional Mall Pharmacy Inc at
825 Se Bishop Blvd, Ste 301, Pullman, Washington or can
call on customer care at 509-332-4608.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.