The Vancouver Clinic Pharmacy Columbia Technology Center
LBN: Vancouver Clinic Inc
The Vancouver Clinic Pharmacy Columbia Technology Center is an health care organization with primary practice located at 501 Se 172Nd Ave Ste 120 , Vancouver WA 98684-9542. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Vancouver Clinic Inc can be contacted via phone (360) 397-3602, or through Morrow, Larissa via phone (360) 397-3314.
Contact Information
Primary practice address
501 Se 172Nd Ave Ste 120
Vancouver WA 98684-9542
Phone: (360) 397-3602
Fax: (360) 604-1791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHAR.CF.00057948 | Washington |
Profile Details
| NPI number | 1376688903 |
|---|---|
| LBN Legal business name | Vancouver Clinic Inc |
| DBA Doing business as | The Vancouver Clinic Pharmacy Columbia Technology Center |
| Authorized official | Morrow, Larissa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Dec 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376688903 | NPPES |
| Washington | MEDICAID | 6027991 | |
| Washington | Other | 2108382 |
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