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Organization
COLVILLE MEDICAL CENTER
Active
Organization
COLVILLE MEDICAL CENTER
Active
Other names
NORTHEAST WASHINGTON MED GROUP PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KASCHMITTER (DIR OF PHARMACY)
(509) 684-7727
Entity
Organization
Contact information
Practice address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 684-7727
(509) 684-7711
Mailing address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 684-7727
(509) 684-7711
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
Primary
PHARCF00056735
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4926436
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6022735
—
WA
Enumeration date
10/12/2005
Last updated
08/23/2012
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