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Laketown Pharmacy Pllc

Community/Retail Pharmacy in Moses Lake, WA · enumerated 2016 · authorized official Mark Duvall, Governor/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447611280

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Registry record

Entity type Organization (Type 2)
Legal business name Laketown Pharmacy Pllc
Other name <Unavail>
Practice address 1550 S Pioneer Way Ste 105, Moses Lake, WA, 98837
Fax (509) 765-4280
Enumeration date Mar 7, 2016
Last updated in NPPES Mar 1, 2022

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 60642318 (WA) Primary

Authorized official

Name Mark Duvall
Title Governor/Owner

Other identifiers

Identifier Type State Issuer
2160414 Other - PK
2070654 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Laketown Pharmacy Pllc?
Laketown Pharmacy Pllc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-01.