A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO?s covered members only.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Managed Care Organization Pharmacy |
3336M0003X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1134512874 |
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| LBN Legal business name | COMMUNITY HEALTH ASSOCIATION OF SPOKANE | ||||||||||||
| Authorized official | AARON WILSON - (CEO) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 03/05/2015 | ||||||||||||
| Last updated | 01/05/2026 - About 5 months ago | ||||||||||||
| Identifiers |
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