Organization · Type 2 NPI

Washington State Dept of Social and Health Services

Long Term Care Pharmacy · Medical Lake, WA

NPI number 1457414138 Active

Practice location

S 2320 Salnave Road
Medical Lake, WA 99022-0200

Fax (509) 299-1967

Mailing address

PO Box 200, S 2320 Salnave Road
Medical Lake, WA 99022-0200

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003XPHAR.CF.00000468 (WA)

Long Term Care Pharmacy: 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 congregate living arrangements.

2 other providers at this address

Other long term care pharmacy providers in Medical Lake

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About NPI 1457414138

Washington State Dept of Social and Health Services's National Provider Identifier is 1457414138, issued on Dec 18, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Medical Lake, WA. The record was last updated on Mar 7, 2023.