Provider Demographics
NPI:1700939824
Name:THE MARKETS LLC
Entity Type:Organization
Organization Name:THE MARKETS LLC
Other - Org Name:SELAH SAVEON FOODS #845 PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-714-9797
Mailing Address - Street 1:4350 CORDATA PKWY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8019
Mailing Address - Country:US
Mailing Address - Phone:360-714-7724
Mailing Address - Fax:360-714-7811
Practice Address - Street 1:800 N PARK CTR
Practice Address - Street 2:
Practice Address - City:SELAH
Practice Address - State:WA
Practice Address - Zip Code:98942-1173
Practice Address - Country:US
Practice Address - Phone:509-697-6188
Practice Address - Fax:509-697-3356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACF000570423336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6020523Medicaid
WA6020523Medicaid