Provider Demographics
NPI:1821210485
Name:J AND S DRUG
Entity Type:Organization
Organization Name:J AND S DRUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST ,OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSHI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:509-422-3920
Mailing Address - Street 1:236 N 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:OKANOGAN
Mailing Address - State:WA
Mailing Address - Zip Code:98840
Mailing Address - Country:US
Mailing Address - Phone:509-422-3920
Mailing Address - Fax:509-422-2610
Practice Address - Street 1:236 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:OKANOGAN
Practice Address - State:WA
Practice Address - Zip Code:98840
Practice Address - Country:US
Practice Address - Phone:509-422-3920
Practice Address - Fax:509-422-2610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACF000582363336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6005326Medicaid