OrganizationActive
14th Avenue Pharmacy Inc.
NPI 1629028378 · Community/Retail Pharmacy · Pasco, WA
Provider details
- NPI number
- 1629028378
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Scott Louderback, President(402) 489-1135
- License
- CF00057982 (WA)
Specialties & taxonomies
Suppliers
Practice location
1200 N 14th Ave
Suite 100
Pasco, WA 99301-4182
Phone: (509) 547-8360
Approximate (ZIP-level) locationGet directions
Mailing address
8055 O St
Lincoln, NE 68510-2564
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2009-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.