Provider Demographics
NPI:1912034497
Name:SHOREWOOD COMMUNICATIONS INC
Entity Type:Organization
Organization Name:SHOREWOOD COMMUNICATIONS INC
Other - Org Name:RAY'S GENERAL STORE AND PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:II
Authorized Official - Credentials:PHARM B
Authorized Official - Phone:360-472-0253
Mailing Address - Street 1:PO BOX 230
Mailing Address - Street 2:
Mailing Address - City:EASTSOUND
Mailing Address - State:WA
Mailing Address - Zip Code:98245-0230
Mailing Address - Country:US
Mailing Address - Phone:360-376-2230
Mailing Address - Fax:
Practice Address - Street 1:68 N BEACH RD # 5
Practice Address - Street 2:
Practice Address - City:EASTSOUND
Practice Address - State:WA
Practice Address - Zip Code:98245-8200
Practice Address - Country:US
Practice Address - Phone:360-376-2230
Practice Address - Fax:866-357-8746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACF000586233336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4903313OtherNCPDP PROVIDER NUMBER