Organization · Type 2 NPI

Hawks Prairie Pharmacy

Pharmacy · Lacey, WA

NPI number 1508292707 Active

Practice location

2539 Marvin Rd NE, Ste E
Lacey, WA 98516-3177

Fax (360) 438-3532

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PHAR.CF.60409528 (WA)
Managed Care Organization Pharmacy	3336M0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

6 other providers at this address

Other pharmacy providers in Lacey

See all in Lacey →

NPI record

NPI: 1508292707
Entity type: Organization (Type 2)
Issued: Sep 19, 2013
Last updated: Nov 11, 2023
Status: Active

Other names

<unavail>
Hawks Prairie Health Mart Pharmacy · doing business as
Hawks Prairie Health Mart Pharmacy · doing business as

Authorized official

Mr. Sunil B Thimmegowda
Owner/pharmacist
(360) 438-3072

Verify this record

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.

Is this your record? How to update it.

About NPI 1508292707

Hawks Prairie Pharmacy's National Provider Identifier is 1508292707, issued on Sep 19, 2013. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Lacey, WA. The record was last updated on Nov 11, 2023.