| Jike Llc | |
|
8600 E Mill Plain Blvd Ste A Vancouver WA 98664-2055 | |
| (360) 583-4633 | |
| (360) 258-0597 |
| Full Name | Jike Llc |
|---|---|
| Speciality | Pharmacy |
| Location | 8600 E Mill Plain Blvd Ste A, Vancouver, Washington |
| Authorized Official Name and Position | Iheke O Ekeya (OWNER) |
| Authorized Official Contact | 5034736316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jike Llc 717 Nw 120th St Vancouver WA 98685-2495 Ph: (360) 583-4633 | Jike Llc 8600 E Mill Plain Blvd Ste A Vancouver WA 98664-2055 Ph: (360) 583-4633 |
| NPI Number | 1417581943 |
|---|---|
| Provider Enumeration Date | 02/24/2020 |
| Last Update Date | 09/03/2022 |
| Medicare PECOS PAC ID | 4587055868 |
|---|---|
| Medicare Enrollment ID | O20220504000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417581943 | NPI | - | NPPES |
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