OrganizationActive
Hawks Prairie Pharmacy
NPI 1376277236 · Long Term Care Pharmacy · Lacey, WA
Provider details
- NPI number
- 1376277236
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Hawks Prairie Pharmacy
- Organization subpart
- Yes
- Authorized official
- Sunil Thimmegowda, President(360) 438-3072
Specialties & taxonomies
Suppliers
Practice location
2539 Marvin Rd Ne Ste E
Lacey, WA 98516-3175
Phone: (360) 438-3072
Fax: (360) 438-3532
Approximate (ZIP-level) locationGet directions
Mailing address
2539 Marvin Rd Ne Ste E
Lacey, WA 98516-3175
Other names (DBA / former)
- Doing business as
- Hawks Prairie Health Mart Pharmacy
- Doing business as
- Hawks Prairie Ltc Pharmacy
Registry dates
- Enumerated
- 2022-07-14
- Last updated
- 2022-07-16
- Certified
- 2022-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.