Organization · Type 2 NPI

Multicare Health Systems

Community/Retail Pharmacy · Puyallup, WA

NPI number 1457629644 Active

Practice location

401 15th Ave SE
Puyallup, WA 98372-3715

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHARCF60229229 (WA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

93 other providers at this address

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NPI record

NPI: 1457629644
Entity type: Organization (Type 2)
Issued: Dec 2, 2011
Last updated: Sep 29, 2021
Status: Active
Subpart: Yes of Multicare Health System

Other names

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Multicare Good Sam Outpatient Pharmacy · doing business as

Authorized official

Teresa Diane Harberg, PharmD
Director, Ambulatory Pharmacy
(253) 426-6209

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457629644

Multicare Health Systems's National Provider Identifier is 1457629644, issued on Dec 2, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Puyallup, WA. The record was last updated on Sep 29, 2021.