Mary Bridge Retail Clinic Pharmacy

LBN: Multicare Health Systems
Mary Bridge Retail Clinic Pharmacy is an health care organization with primary practice located at 311 S L St , Tacoma WA 98405-3720. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Multicare Health Systems can be contacted via phone (253) 403-1411, or through Harberg, Teresa Diane via phone (253) 426-6209.

Contact Information

Primary practice address
311 S L St Tacoma WA 98405-3720
Fax: (253) 403-1745
Website:
Authorized official contact:
Name: Harberg, Teresa Diane PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR.CF.60306875 Washington
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1598701617
LBN Legal business name Multicare Health Systems
DBA Doing business as Mary Bridge Retail Clinic Pharmacy
Authorized official Harberg, Teresa Diane PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 20th, 2006
Last updated Sep 29th, 2021 - about 3 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 1598701617 NPPES
Other 2108400 PK
MEDICAID 2029698 PK

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