NPI 1104719160
Innominds LLC
Practice location
- Address
- 1103 S 72nd Ave STE 100, Yakima, WA 98908-1913
- Phone
- (509) 823-1653
- Fax
- (509) 823-1654
- Mailing address
- PO Box 8201, Yakima, WA 98908-0201
Authorised official
- Name
- Srini Mandava
- Title
- Pharmacy Manager
- Phone
- (509) 899-6021
Registered specialties (2)
Community/Retail Pharmacy
Primary
Compounding Pharmacy
Registry record
- NPI
- 1104719160
- Entity type
- Organization
- NPI issued
- 29 May 2025
- Record last updated
- 25 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.