KITTITAS COUNTY PUBLIC HOSP DIST 1

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

KITTITAS COUNTY PUBLIC HOSP DIST 1

603 S CHESTNUT ST
ELLENSBURG, WA 98926

Phone: 509-925-8484
Fax: 509-925-8485
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for KITTITAS COUNTY PUBLIC HOSP DIST 1

NPI Number 1528507464

LBN Legal business name KITTITAS COUNTY PUBLIC HOSP DIST 1

Authorized official JULIE PETERSEN - (INTERIM CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/13/2017

Last updated 06/01/2018 - About 8 years ago

Identifiers

WA	License #	PHAR.CF.60588203
WA	Medicaid	2077649
	Other	2165866	PK

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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