NPI 1548887771

Broken Oak LLC

Organisation Community/Retail Pharmacy Omak, WA

Practice location

Address: 208 S Main St, Omak, WA 98841-9755
Phone: (509) 740-0833
Mailing address: PO Box 265, Okanogan, WA 98840-0265

Authorised official

Name: April M Russell
Title: Owner
Phone: (509) 740-0833

Registered specialties (5)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X

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Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Pharmacy Service Providers Taxonomy 1835P0018X

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Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X

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Pharmacy

Suppliers Taxonomy 333600000X

Clinic Pharmacy

Suppliers Taxonomy 3336C0002X

Registry record

NPI: 1548887771
Entity type: Organization
NPI issued: 3 Jul 2020
Record last updated: 3 Jul 2020

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.