Provider Demographics
NPI:1114296498
Name:PRECISION DISTRIBUTING, INC.
Entity Type:Organization
Organization Name:PRECISION DISTRIBUTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF OPERATIONS OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMAKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-693-5000
Mailing Address - Street 1:3021 NE 72ND DR
Mailing Address - Street 2:STE. 9 PMB 141
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-7300
Mailing Address - Country:US
Mailing Address - Phone:360-693-5000
Mailing Address - Fax:360-693-6288
Practice Address - Street 1:11105 NE 14TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-4308
Practice Address - Country:US
Practice Address - Phone:360-693-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment