Provider Demographics
NPI:1891341616
Name:NWPA INC
Entity Type:Organization
Organization Name:NWPA INC
Other - Org Name:RXPRESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:TIWARI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH MS MBA
Authorized Official - Phone:253-862-5000
Mailing Address - Street 1:21509 STATE ROUTE 410 E STE 4
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-4104
Mailing Address - Country:US
Mailing Address - Phone:253-862-5000
Mailing Address - Fax:
Practice Address - Street 1:21509 STATE ROUTE 410 E STE 4
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-4104
Practice Address - Country:US
Practice Address - Phone:253-862-5000
Practice Address - Fax:253-862-4488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy