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Organization
TULALIP CLINICAL PHARMACY
Active
Organization
TULALIP CLINICAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET GOODMAN (PHARMACY COORDINATOR)
(360) 716-2664
Entity
Organization
Contact information
Practice address
8825 34TH AVE NE, SUITE A, TULALIP, WA 98271-8085
(360) 716-2660
(360) 716-3660
Mailing address
8825 34TH AVE NE, SUITE A, TULALIP, WA 98271-8085
(360) 716-2660
(360) 716-3660
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
333600000X
Pharmacy
CF00055944
WA
3336C0002X
Clinic Pharmacy
CF00055944
WA
3336C0003X
Community/Retail Pharmacy
CF00055944
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6019939
—
WA
Enumeration date
04/18/2007
Last updated
07/21/2021
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