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Organization
FRANCISCAN HEALTH SYSTEM
Active
Organization
FRANCISCAN HEALTH SYSTEM
Active
Other names
Franciscan Compounding Pharmacy St. Clare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH SINAY (MANAGER)
(253) 426-6692
Entity
Organization
Contact information
Practice address
11315 BRIDGEPORT WAY SW STE A1087, LAKEWOOD, WA 98499-3004
(253) 985-6290
Mailing address
11315 BRIDGEPORT WAY SW STE A1087, LAKEWOOD, WA 98499-3004
(253) 985-6290
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF60165416
BOARD OF PHARMACY
WA
Enumeration date
09/28/2010
Last updated
09/28/2010
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