Provider Demographics
NPI:1689427346
Name:PANORAMA PHARMACY,INC.
Entity Type:Organization
Organization Name:PANORAMA PHARMACY,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:THIMMEGOWDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-438-3072
Mailing Address - Street 1:2539 MARVIN RD NE STE E
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-3175
Mailing Address - Country:US
Mailing Address - Phone:360-438-3072
Mailing Address - Fax:
Practice Address - Street 1:1751 CIRCLE LN SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-2570
Practice Address - Country:US
Practice Address - Phone:360-438-3072
Practice Address - Fax:360-438-3532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy