Multicare Bonney Lake Pharmacy
LBN: Multicare Health Systems
Multicare Bonney Lake Pharmacy is an health care organization with primary practice located at 10004 204Th Ave E Suite 1200, Bonney Lake WA 98391-6539. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, 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) 447-3355, or through Harberg, Teresa Diane via phone (253) 426-6209.
Contact Information
Primary practice address
10004 204Th Ave E Suite 1200
Bonney Lake WA 98391-6539
Phone: (253) 447-3355
Fax: (253) 447-3375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHARCF60229221 | Washington |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1912287731 |
|---|---|
| LBN Legal business name | Multicare Health Systems |
| DBA Doing business as | Multicare Bonney Lake Pharmacy |
| Authorized official | Harberg, Teresa Diane PHARMD |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 24th, 2011 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912287731 | NPPES |
| Other | 2131570 | PK | |
| MEDICAID | 2014454 | PK |
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