Provider Demographics
NPI:1356041388
Name:MAKERS PHARMACY LLC
Entity type:Organization
Organization Name:MAKERS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHARMACIST IN CHARGE
Authorized Official - Prefix:MS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWERDT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:360-757-6677
Mailing Address - Street 1:221 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-3802
Mailing Address - Country:US
Mailing Address - Phone:360-757-6677
Mailing Address - Fax:
Practice Address - Street 1:221 S 1ST ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-3802
Practice Address - Country:US
Practice Address - Phone:360-757-6677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center