Eastern State Hospital Pharmacy

LBN: Eastern State Hospital Pharmacy
Eastern State Hospital Pharmacy is an health care organization with primary practice located at 800 West Maple Street , Medical Lake WA 99022-0800. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Psychiatric Hospital, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Eastern State Hospital Pharmacy can be contacted via phone (509) 299-3121, or through Kenney, Ronda D via phone (509) 565-4659.

Contact Information

Primary practice address
800 West Maple Street Medical Lake WA 99022-0800
Phone: (509) 299-3121
Fax: (509) 299-7015
Website:
Map and Directions
Authorized official contact:
Name: Kenney, Ronda D Master of Public Administration (MPA)
Phone: (509) 565-4659

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1679651970
LBN Legal business name Eastern State Hospital Pharmacy
DBA Doing business as
Authorized official Kenney, Ronda D Master of Public Administration (MPA)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Oct 15th, 2018 - about 6 years 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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