| Rankos Stadium Pharmacy Inc | |
|
101 N Tacoma Ave Tacoma WA 98403-2631 | |
| (253) 383-2411 | |
| (253) 572-4329 |
| Full Name | Rankos Stadium Pharmacy Inc |
|---|---|
| Speciality | Pharmacy |
| Location | 101 N Tacoma Ave, Tacoma, Washington |
| Authorized Official Name and Position | Elizabeth Rankos (PHARMACIST) |
| Authorized Official Contact | 2533832411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rankos Stadium Pharmacy Inc 101 N Tacoma Ave Tacoma WA 98403-2631 Ph: () - | Rankos Stadium Pharmacy Inc 101 N Tacoma Ave Tacoma WA 98403-2631 Ph: (253) 383-2411 |
| NPI Number | 1710092762 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 04/11/2022 |
| Medicare PECOS PAC ID | 1759474489 |
|---|---|
| Medicare Enrollment ID | O20070911000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710092762 | NPI | - | NPPES |
| 0008703 | Other | WA | DEPT OF L & I |
| 0191155 | Other | WA | DEPT OF L & I DME |
| 4909620 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 6003065 | Medicaid | WA |
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