Provider Demographics
NPI:1255950432
Name:CAMMACKS PHARMACIES INC
Entity type:Organization
Organization Name:CAMMACKS PHARMACIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:CAMMACK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:360-452-4200
Mailing Address - Street 1:424 E 2ND ST STE A
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-3119
Mailing Address - Country:US
Mailing Address - Phone:360-504-3961
Mailing Address - Fax:360-452-4288
Practice Address - Street 1:424 E 2ND ST STE A
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-3119
Practice Address - Country:US
Practice Address - Phone:360-504-3961
Practice Address - Fax:360-452-4288
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAMMACKS PHARMACIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-08
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty