WASHINGTON STATE UNIVERSITY NPI 1427105030

NPI Information

NPI: 1427105030
Provider Name: WASHINGTON STATE UNIVERSITY

Doing Business As: WSU COUGAR HEALTH SERVICES PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1125 SE WASHINGTON STREET
PULLMAN, WA
ZIP 99163
Phone: (509) 335-5742
Get Directions

WASHINGTON STATE UNIVERSITY is a clinic pharmacy pharmacy in Pullman, 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. WASHINGTON STATE UNIVERSITY NPI is 1427105030. The provider is registered as an organization entity type.
The provider Is Doing Business As Wsu Cougar Health Services Pharmacy.

The provider's business location address is:

1125 SE WASHINGTON STREET
PULLMAN, WA
ZIP 99163
Phone: (509) 335-5742
Fax: (509) 335-5745

The provider's authorized official is Gordon B Hedenstrom .
The authorized official title is Pharmacy Manager and has the following contact phone number (509) 335-5742.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 3/7/2023.

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
1	3336C0002X	Pharmacy	Clinic Pharmacy	CF0056228	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4926537	OTHER	WASHINGTON	NABP
2	6012942	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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