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Providence Health & Services Washington
Long Term Care Pharmacy in Olympia, Washington
NPI 1235271701

Providence Health & Services Washington is a Long Term Care Pharmacy based in Olympia, WA and is specialized in Long Term Care Pharmacy. Providence Health & Services Washington practices in Olympia, WA. The NPI Number for Providence Health & Services Washington is 1235271701 and holds a License No. FL00056502 (Washington).

The current practice location address for Providence Health & Services Washington is 3333 Ensign Rd Ne, Olympia, WA and can be reached out via phone at 360-493-4572 and via fax at 360-493-5404.

Location: 3333 Ensign Rd Ne, Olympia, WA, 98506-5012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235271701
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
3333 Ensign Rd Ne, Olympia, WA, 98506-5012
Phone Number
360-493-4572
Fax Number
360-493-5404
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHAR.CF.00056502 01 WA PHARMACY LICENSE
6022482 05 WA
4927262 01 WA PHARMACY NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
3333 Ensign Rd Ne
City
Olympia
State
Washington
Zip
98506-5012
Phone Number
360-493-4572
Fax Number
360-493-5404
person
Provider Business Mailing Address Details
Address
3333 Ensign Rd Ne
City
Olympia
State
Washington
Zip
98506-5012
Phone Number
360-493-4572
Fax Number
360-493-5404
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
FL00056502 (Washington)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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