OrganizationActive
14th Avenue Pharmacy Inc
NPI 1710091608 · Community/Retail Pharmacy · Pasco, WA
Provider details
- NPI number
- 1710091608
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Authorized official
- Scott Louderback, President
- License
- CF00058660 (WA)
Practice location
1200 N 14th Ave
Ste 100
Pasco, WA 99301-4182
Phone: (509) 547-8360
Fax: (509) 547-7571
Mailing address
8055 O St Ste 201
Lincoln, NE 68510
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2008-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.