Country Doctor Community Clinic Pharmacy

LBN: Country Doctor Community Clinic
Country Doctor Community Clinic Pharmacy is an health care organization with primary practice located at 510 19Th Ave E , Seattle WA 98112-4095. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Country Doctor Community Clinic can be contacted via phone (206) 709-7116, or through Saucedo, Maria via phone (206) 709-7112.

Contact Information

Primary practice address
510 19Th Ave E Seattle WA 98112-4095
Phone: (206) 709-7116
Fax: (206) 299-1608
Website:
Map and Directions
Authorized official contact:
Name: Saucedo, Maria
Phone: (206) 709-7112

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X CF00004729 Washington

Profile Details

NPI number 1639390982
LBN Legal business name Country Doctor Community Clinic
DBA Doing business as Country Doctor Community Clinic Pharmacy
Authorized official Saucedo, Maria
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Jan 26th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639390982 NPPES
Washington Other PHAR.CF.61403411 LICENSE NUMBER

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