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Contact Information

WA VETERANS HOME PHARMACY
1141 BEACH DR E
RETSIL, WA98378
 Phone: 360-895-4700
 Fax: 360-895-4452
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WA VETERANS HOME PHARMACY

NPI # 1952426645
LBN Legal business name WA VETERANS HOME PHARMACY
Authorized official TERRANCE WESTHOFF - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2007
Last updated 09/28/2020 - About 6 years ago
Identifiers
WA License # FL00001169
WA Medicaid 6015010
Other 4906092 NABP
WA Other 4906092 NADP
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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