Organization
WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Active
Parent organization
WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Other names
Fircrest School Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Authorized official
DR. ASHA SINGH MD (SUPERINTENDENT)
(206) 361-3032
Entity
Organization
Contact information
Practice address
15230 15TH AVE NE, SHORELINE, WA 98155-7130
(206) 361-3565
(206) 361-3157
Mailing address
15230 15TH AVE NE, SHORELINE, WA 98155-7130
(206) 361-3565
(206) 361-3157
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
FL00000256
WA
3336I0012X
Institutional Pharmacy
FL00000256
WA
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
FL00000256
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4906650
OTHER ID NUMBER
—
Enumeration date
06/14/2006
Last updated
07/14/2008
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