Provider Demographics
NPI:1487425781
Name:ACTS PHARMACY AND HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:ACTS PHARMACY AND HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:JAZEL JANE
Authorized Official - Middle Name:MANONGDO
Authorized Official - Last Name:BAUTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:253-272-0324
Mailing Address - Street 1:1901 S UNION AVE
Mailing Address - Street 2:BLDG B STE 2011
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405
Mailing Address - Country:US
Mailing Address - Phone:253-272-0324
Mailing Address - Fax:253-272-0490
Practice Address - Street 1:1901 S UNION AVE
Practice Address - Street 2:BLDG B STE 2011
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405
Practice Address - Country:US
Practice Address - Phone:253-272-0324
Practice Address - Fax:253-272-0490
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACTS PHARMACY AND HEALTHCARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy