Provider Demographics
NPI:1841677903
Name:AKERS UNITED DRUG, INC.
Entity type:Organization
Organization Name:AKERS UNITED DRUG, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:AKERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-935-8441
Mailing Address - Street 1:PO BOX 136
Mailing Address - Street 2:
Mailing Address - City:CHEWELAH
Mailing Address - State:WA
Mailing Address - Zip Code:99109-0136
Mailing Address - Country:US
Mailing Address - Phone:509-935-8441
Mailing Address - Fax:509-935-8406
Practice Address - Street 1:358 N MAIN ST
Practice Address - Street 2:C/O COLVILLE COMMUNITY HEALTH CENTER
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114
Practice Address - Country:US
Practice Address - Phone:509-684-1440
Practice Address - Fax:509-935-8406
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AKERS UNITED DRUG, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACF605576693336C0002X, 3336C0003X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy