Provider Demographics
NPI:1790242576
Name:WHOLE HEALTH PHARMACY LLC
Entity Type:Organization
Organization Name:WHOLE HEALTH PHARMACY LLC
Other - Org Name:WHOLE HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEFFELMAIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:509-607-1370
Mailing Address - Street 1:800 S PEARL ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-3646
Mailing Address - Country:US
Mailing Address - Phone:509-925-6800
Mailing Address - Fax:509-925-6900
Practice Address - Street 1:800 S PEARL ST STE 1
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3655
Practice Address - Country:US
Practice Address - Phone:509-925-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy