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PROVIDENCE HEALTH & SERVICES WA NPI 1033558457


NPI Information

NPI: 1033558457
Provider Name: PROVIDENCE HEALTH & SERVICES WA

Doing Business As: PROVIDENCE ST. MARY MEDICAL CENTER OUTPATIENT PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
401 W POPLAR ST
PHARMACY
WALLA WALLA, WA
ZIP 99362
Phone: (509) 525-3320
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PROVIDENCE HEALTH & SERVICES WA is a clinic pharmacy pharmacy in Walla Walla, WA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. PROVIDENCE HEALTH & SERVICES WA NPI is 1033558457. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence St. Mary Medical Center Outpatient Pharmacy.

The provider's business location address is:

401 W POPLAR ST
PHARMACY
WALLA WALLA, WA
ZIP 99362-846
Phone: (509) 525-3320
Fax: (509) 522-5958

The provider's authorized official is Steven Burdick .
The authorized official title is Ceo and has the following contact phone number (509) 525-3320.

The enumeration date for this NPI number is 6/19/2013 and was last updated on 6/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic PharmacyPHAR.CF.00001050WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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