National Provider Identifier Database

COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
1019 112TH ST SW
EVERETT, WA98204-4875
Phone: 425-551-6521
Fax: 425-551-6525
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY

NPI Number 1356531990
Legal business name
LBN
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Authorized official JOE VESSEY - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 07/30/2007
Last updated 11/03/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: PHAR.CF.00059092
  • WA Medicaid: 1054803
  • Other: 2109097 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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