Providence St. Mary Medical Center Outpatient Pharmacy

LBN: Providence Health & Services Wa
Providence St. Mary Medical Center Outpatient Pharmacy is an health care organization with primary practice located at 401 W Poplar St Pharmacy, Walla Walla WA 99362-2846. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Providence Health & Services Wa can be contacted via phone (509) 525-3320, or through Burdick, Steven via phone (509) 525-3320.

Contact Information

Primary practice address
401 W Poplar St Pharmacy Walla Walla WA 99362-2846
Fax: (509) 522-5958
Website:
Authorized official contact:
Name: Burdick, Steven

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PHAR.CF.00001050 Washington

Profile Details

NPI number 1033558457
LBN Legal business name Providence Health & Services Wa
DBA Doing business as Providence St. Mary Medical Center Outpatient Pharmacy
Authorized official Burdick, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2013
Last updated Jun 19th, 2013 - about 11 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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