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Organization
OUR LADY OF LOURDES HEALTH CENTER
Active
Organization
OUR LADY OF LOURDES HEALTH CENTER
Active
Other names
Lourdes Counseling Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY CLARK (PIC/DIRECTOR OF PHARMACY)
(509) 546-2298
Entity
Organization
Contact information
Practice address
1175 CARONDELET DR, ATTN: PHARMACY, RICHLAND, WA 99354-3300
(509) 946-7108
(509) 543-2414
Mailing address
ATTN: PHARMACY, 1175 CARONDELET DRIVE, RICHLAND, WA 99354
(509) 946-7108
(509) 543-2414
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
PHAR.CF.6048122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160592
PK
—
Enumeration date
02/22/2016
Last updated
07/20/2016
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