Provider Demographics
NPI:1134966187
Name:WENATCHEE VALLEY PHARMACY, LLC
Entity type:Organization
Organization Name:WENATCHEE VALLEY PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:THENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-841-0000
Mailing Address - Street 1:636 VALLEY MALL PKWY STE 7
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-4898
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:636 VALLEY MALL PKWY STE 7
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-4898
Practice Address - Country:US
Practice Address - Phone:509-888-7797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy