Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Other names
Yakima Valley Farm Workers Clinic - Grandview
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN DAVIS (COO)
(509) 865-6175
Entity
Organization
Contact information
Practice address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 882-3977
(509) 882-2966
Mailing address
2601 COMMERCE LN, YAKIMA, WA 98901-5801
(509) 865-6175
(509) 865-0840
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00055922
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4915558
NCPDP
WA
05
—
6008940
—
WA
Enumeration date
09/27/2006
Last updated
06/30/2023
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