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Organization
COMMUNITY HEALTH CARE
Active
Organization
COMMUNITY HEALTH CARE
Active
Other names
COMMUNITY HEALTH CARE PHARMACY - Lakewood
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLENTGE (CEO)
(253) 597-4550
Entity
Organization
Contact information
Practice address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 589-7190
(253) 284-4385
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 597-4550
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHARCF00057391
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4930194
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6026421
—
WA
Enumeration date
11/27/2006
Last updated
06/07/2019
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