Organization
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Active
Other names
Community Health of Central Washington Ellensburg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GONZALEZ (CEO)
(509) 494-6700
Entity
Organization
Contact information
Practice address
521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3865
(509) 962-1470
(509) 962-1485
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031820
LABOR AND INDUSTRIES
WA
01
—
2118469
PK
—
05
—
6032064
—
WA
Enumeration date
11/24/2008
Last updated
07/29/2020
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