Washington State Dept Of Social And Health Services in Medical Lake - Long Term Care Pharmacy
Washington State Dept Of Social And Health Services - NPI 1457414138
Washington State Dept Of Social And Health Services is a Long Term Care Pharmacy in Medical Lake, Washington. Washington State Dept Of Social And Health Services practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Washington State Dept Of Social And Health Services is 1457414138. The last update date is 2023-03-07.
Washington State Dept Of Social And Health Services's current location address is Po Box 200, Medical Lake, Washington. You can contact this provider via phone number 5092991948 and fax number 5092991967. The mailing address for Washington State Dept Of Social And Health Services is Po Box 200, Medical Lake, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Washington State Dept Of Social And Health Services |
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Address | Po Box 200, Medical Lake, Washington |
Phone Number | 5092991948 |
Fax Number | 5092991967 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CLINICAL P |
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Authorized Official Name | Berg Joy Carmen |
Credentials | RPH |
Telephone Number | 5092991948 |
NPI Number Detail
NPI Number | 1457414138 |
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Provider Enumeration Date | 2006-12-18 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | Po Box 200 |
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City | Medical Lake |
State | Washington (WA) |
Post Code | 990220200 |
Phone Number | 5092991948 |
Fax Number | 5092991967 |
Provider's Primary Taxonomy Detail
Speciality | Long Term Care Pharmacy |
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Taxonomy | 3336L0003X |
Licence No | PHAR.CF.0000 |
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4904795 | WA | NCPDP |
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What is the unique 10-digit identifier code issued to Washington State Dept Of Social And Health Services by the Centers for Medicare & Medicaid Services?
The Washington State Dept Of Social And Health Services has been assigned the NPI (National Provider Identifier) 1457414138 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Washington State Dept Of Social And Health Services's physical address?
The Washington State Dept Of Social And Health Services is physically located at Po Box 200, in the city of Medical Lake, WA, with the postal code 990220200.
What is Washington State Dept Of Social And Health Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Washington State Dept Of Social And Health Services's specialized field of practice is Long Term Care Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336L0003X.
On what date did the Washington State Dept Of Social And Health Services receive its 1457414138 assignment from the Centers for Medicare & Medicaid Services?
The Washington State Dept Of Social And Health Services was assigned its 1457414138 by the Centers for Medicare & Medicaid Services on 2006-12-18.
When was the Washington State Dept Of Social And Health Services's information last updated?
The Washington State Dept Of Social And Health Services's information was last updated on 2023-03-07.