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Clinic at Royal City — NPI 1962586503, Royal City, WA | NPI Central

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NPI 1962586503

OrganizationActive

Clinic at Royal City

NPI 1962586503 · Non-Pharmacy Dispensing Site · Royal City, WA

Provider details

NPI number: 1962586503
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Authorized official: Direndia Shackelford, Managed Care Specialist
License: MD00010548 (WA)

Practice location

101 Camelia St Nw

Royal City, WA 99357

Phone: (509) 346-1447

Fax: (509) 346-1481

More WA providers

Mailing address

Po Box 1028

Royal City, WA 99357-1028

Registry dates

Enumerated: 2006-10-24
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.