Provider Demographics
NPI:1962532275
Name:PHARMACEUTICAL SYSTEMS INC
Entity type:Organization
Organization Name:PHARMACEUTICAL SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:360-681-6179
Mailing Address - Street 1:345 MONTERRA DR
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-9574
Mailing Address - Country:US
Mailing Address - Phone:360-681-6179
Mailing Address - Fax:360-681-6179
Practice Address - Street 1:345 MONTERRA DR
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-9574
Practice Address - Country:US
Practice Address - Phone:360-681-6179
Practice Address - Fax:360-681-6179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA097303336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy