Hawks Prairie Pharmacy

NPI Registration Record

Provider / Organization	NPI	Date Certified
HAWKS PRAIRIE PHARMACY	1508292707	2023-11-11

The organization Hawks Prairie Pharmacy is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1508292707. Registration indicates Hawks Prairie Pharmacy is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center, ) (All Other Specialties & Provider Types, ) (Clinic/Center, Ambulatory Health Care Facilities) (Suppliers, Durable Medical Equipment & Medical Supplies) (Durable Medical Equipment & Medical Supplies, ) (Pharmacy/DME, ) (Durable Medical Equipment & Medical Supplies, Suppliers) (Suppliers, Pharmacy) (Pharmacy: Managed Care Organization Pharmacy, ) (Pharmacy Managed Care Organization Pharmacy, Suppliers) (Pharmacy, ) (Suppliers, Pharmacy) (Pharmacy, ) (Pharmacy/DME, ) (Pharmacy, Suppliers)

Other Names:

• HAWKS PRAIRIE HEALTH MART PHARMACY

Entity Type	Organization
Provider Organization	HAWKS PRAIRIE PHARMACY
Other Provider Organization	HAWKS PRAIRIE HEALTH MART PHARMACY
Practice Office Address	2539 MARVIN RD NE STE E LACEY, WA US
Practice Office Telephone	3604383072
Practice Office Fax	3604383532
Mailing Address	2539 MARVIN RD NE STE E LACEY, WA 985163177 US
Business Telephone	3604383072
Business Fax	3604383532
Authorized Official	SUNIL B THIMMEGOWDA, OWNER/PHARMACIS 3604383072

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