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KIRKS PHARMACY INC NPI 1700991759


NPI Information

NPI: 1700991759
Provider Name: KIRKS PHARMACY INC

Other Name: KIRK'S PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
104 MASHELL AVE N
EATONVILLE, WA
ZIP 98328
Phone: (360) 832-3121
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KIRKS PHARMACY INC is a pharmacy in Eatonville, WA. The provider 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. KIRKS PHARMACY INC NPI is 1700991759. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Kirk's Pharmacy.

The provider's business location address is:

104 MASHELL AVE N
EATONVILLE, WA
ZIP 98328-936
Phone: (360) 832-3121
Fax: (360) 832-4520

The provider's authorized official is Kirk Heinz .
The authorized official title is Co-owner and has the following contact phone number (360) 832-3121.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 3/19/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyYes
43336L0003XPharmacyLong Term Care PharmacyNo
53336S0011XPharmacySpecialty PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12110128OTHERPK
21016980MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.