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Contact Information

SOUTHWEST WASHINGTON MED CTR OUTPATIENT PHARMACY
420 NE MOTHER JOSEPH PLACE
VANCOUVER, WA98664
 Phone: 360-514-2349
 Fax: 360-514-1775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTHWEST WASHINGTON MED CTR OUTPATIENT PHARMACY

NPI # 1275744294
LBN Legal business name SOUTHWEST WASHINGTON MED CTR OUTPATIENT PHARMACY
Authorized official REBECCA CASWELL - (OUTPATIENT PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WA License # CF00005072
WA Medicaid 6005391
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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