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PEACEHEALTH ST JOHN MEDICAL CENTER NPI 1205043296


NPI Information

NPI: 1205043296
Provider Name: PEACEHEALTH ST JOHN MEDICAL CENTER
Classification: Pharmacist - 1835P1200X
Entity Type: Organization

Specialization: Pharmacotherapy

CLIA Number: 50D0637538

Address:
1615 DELAWARE ST
LONGVIEW, WA
ZIP 98632
Phone: (360) 414-7821
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PEACEHEALTH ST JOHN MEDICAL CENTER is a pharmacotherapy pharmacist in Longview, WA. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. PEACEHEALTH ST JOHN MEDICAL CENTER NPI is 1205043296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1615 DELAWARE ST
LONGVIEW, WA
ZIP 98632-310
Phone: (360) 414-7821
Fax: (360) 414-7366

The provider's authorized official is Karen Collell .
The authorized official title is Regional Director, Pharmacy Service and has the following contact phone number (360) 414-7821.

The CLIA number assigned to this NPI record is 50D0637538 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.


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
11835P1200XPharmacistPharmacotherapyHF00001014WASHINGTONYes

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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