Organization
FRANCISCAN HEALTH SYSTEM
Active
Parent organization
CHI FRANCISCAN HEALTH ST CLARE
Other names
Franciscan Pharmacy St Clare
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHI FRANCISCAN HEALTH ST CLARE
Authorized official
MIKE FITZGERALD (CFO)
(253) 428-8560
Entity
Organization
Contact information
Practice address
11315 BRIDGEPORT WAY SW STE A1087, LAKEWOOD, WA 98499-3004
(253) 985-6290
(253) 985-6295
Mailing address
11315 BRIDGEPORT WAY SW STE A1087, LAKEWOOD, WA 98499-3004
(253) 985-6290
(253) 985-6295
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CR00005230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103541
L&I
WA
05
—
6015861
—
WA
Enumeration date
09/01/2006
Last updated
06/02/2015
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