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Contact Information

OUR LADY OF LOURDES HEALTH CENTER
1175 CARONDELET DR
ATTN: PHARMACY
RICHLAND, WA99354-3300
 Phone: 509-946-7108
 Fax: 509-543-2414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for OUR LADY OF LOURDES HEALTH CENTER

NPI Number 1700245511
LBN Legal business name OUR LADY OF LOURDES HEALTH CENTER
Authorized official TRACY CLARK - (PIC/DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2016
Last updated 07/20/2016 - About 10 years ago
Identifiers
WA License # PHAR.CF.6048122
Other 2160592 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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