Organization · Type 2 NPI

Eastern State Hospital Pharmacy

Long Term Care Pharmacy · Medical Lake, WA

NPI number 1679651970 Active

Practice location

800 West Maple Street
Medical Lake, WA 99022-0800

Call (509) 299-3121 Map

Fax (509) 299-7015

Mailing address

850 Maple Street
Medical Lake, WA 99022

Specialties and licenses

TaxonomyCodeLicense
Psychiatric Hospital 283Q00000XNone listed
Long Term Care Pharmacy Primary 3336L0003XNone listed

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.

34 other providers at this address

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About NPI 1679651970

Eastern State Hospital Pharmacy's National Provider Identifier is 1679651970, issued on Nov 2, 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 Oct 15, 2018.