National Provider Identifier Database

COLVILLE MEDICAL CENTER
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

COLVILLE MEDICAL CENTER
1200 E COLUMBIA AVE
COLVILLE, WA99114-3354
Phone: 509-684-7727
Fax: 509-684-7711
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for COLVILLE MEDICAL CENTER

NPI Number 1841288941
Legal business name
LBN
COLVILLE MEDICAL CENTER
Authorized official JULIE KASCHMITTER - (DIR OF PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 10/12/2005
Last updated 08/23/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: PHARCF00056735
  • WA Medicaid: 6022735
  • Other: 4926436 NCPDP PROVIDER IDENTIFICATION NUMBER

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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