Provider Demographics
NPI:1285100214
Name:WASHINGTON PHARMACY INC
Entity type:Organization
Organization Name:WASHINGTON PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:785-325-3130
Mailing Address - Street 1:227 C ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:66968-1906
Mailing Address - Country:US
Mailing Address - Phone:785-325-3130
Mailing Address - Fax:785-325-3260
Practice Address - Street 1:227 C ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:KS
Practice Address - Zip Code:66968-1906
Practice Address - Country:US
Practice Address - Phone:785-325-3130
Practice Address - Fax:785-325-3260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy