Organization · Type 2 NPI

Hawks Prairie Pharmacy

Long Term Care Pharmacy · Lacey, WA

NPI number 1376277236 Active

Practice location

2539 Marvin Rd NE Ste E
Lacey, WA 98516-3175

Fax (360) 438-3532

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3 other providers at this address

Other long term care pharmacy providers in Lacey

Lacey Square Pharmacy IncLong Term Care Pharmacy Lacey, WA NPI 1750948956

See all in Lacey →

NPI record

NPI: 1376277236
Entity type: Organization (Type 2)
Issued: Jul 14, 2022
Last updated: Jul 16, 2022
Status: Active
Subpart: Yes of Hawks Prairie Pharmacy

Other names

Hawks Prairie Health Mart Pharmacy · doing business as
Hawks Prairie LTC Pharmacy · doing business as

Authorized official

Sunil B Thimmegowda, RPH
President
(360) 438-3072

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376277236

Hawks Prairie Pharmacy's National Provider Identifier is 1376277236, issued on Jul 14, 2022. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Lacey, WA. The record was last updated on Jul 16, 2022.