South Park Rexall Pharmacy, Inc.
Community/Retail Pharmacy
1743 Village Ln Se, Port Orchard
Washington, 98366-2643
360-871-1020 360-871-1213
South Park Rexall Pharmacy, Inc. is a Community/Retail Pharmacy in Port Orchard, Washington. It is located at 1743 Village Ln Se, Port Orchard and it's customer support contact number is 360-871-1020. The authorized person of South Park Rexall Pharmacy, Inc. is Kenneth Paskett, RPH who is Owner of the pharmacy and his contact number is 360-871-1020. Active license number of South Park Rexall Pharmacy, Inc. is PHARCF00000804 for Community/Retail Pharmacy in Washington.
South Park Rexall 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:
South Park Rexall 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: | South Park Rexall Pharmacy, Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 1743 Village Ln Se, Port Orchard,
Washington, 98366-2643 |
| Phone: | 360-871-1020 |
| Fax: | 360-871-1213 |
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: | Kenneth Paskett |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 360-871-1020 |
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: | 1437256278 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 04 May, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Park Rexall Pharmacy, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHARCF00000804 | Washington | Primary | |
| 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 |
| 6174205 | Medicaid | Washington | |
| 4911649 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1743 Village Ln Se,
Port Orchard, Washington |
| Zip: | 98366-2643 |
| Phone Number: | 360-871-1020 |
| Fax Number: | 360-871-1213 |
Patients can reach South Park Rexall Pharmacy, Inc. at
1743 Village Ln Se, Port Orchard, Washington or can
call on customer care at 360-871-1020.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.