# QUINCY COMMUNITY HEALTH CENTER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOSES LAKE COMMUNITY HEALTH CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629564679
- **Legal business name:** MOSES LAKE COMMUNITY HEALTH CENTER
- **Authorized official:** SHEILA CHILSON (CEO)
- **Authorized official phone:** (509) 766-8971

## Contact information

- **Practice address:** 1450 1ST AVE SW, QUINCY, WA 98848-1695
- **Practice address phone:** (509) 787-6423
- **Practice address fax:** (509) 764-0344
- **Mailing address:** 605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
- **Mailing address phone:** (509) 765-0674
- **Mailing address fax:** (509) 764-0344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | PENDING | WA | Yes |

## Other

- **Enumeration date:** 07/02/2018
- **Last updated:** 07/02/2018
