Muckleshoot Hwc Pharmacy

LBN: Muckleshoot Health And Wellness Center Pharmacy
Muckleshoot Hwc Pharmacy is an health care organization with primary practice located at 17500 Se 392Nd St Attn Pharmacy, Auburn WA 98092-9705. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Muckleshoot Health And Wellness Center Pharmacy can be contacted via phone (253) 333-3618, or through Berg, Matthew via phone (253) 333-3619.

Contact Information

Primary practice address
17500 Se 392Nd St Attn Pharmacy Auburn WA 98092-9705
Phone: (253) 333-3618
Fax: (253) 333-6853
Website:
Map and Directions
Authorized official contact:
Name: Berg, Matthew PHARM D.
Phone: (253) 333-3619

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Washington

Profile Details

NPI number 1225241581
LBN Legal business name Muckleshoot Health And Wellness Center Pharmacy
DBA Doing business as Muckleshoot Hwc Pharmacy
Authorized official Berg, Matthew PHARM D.
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Nov 9th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225241581 NPPES
Washington MEDICAID 6016752

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