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Organization

VANCOUVER CLINIC INC

Active
Other names
VANCOUVER CLINIC PHARMACY SALMON CREEK
Organization subpart
No

Provider details

NPI number
Authorized official
LARISSA MORROW PHARMD (PHARMACY MANAGER)
(360) 397-3880
Entity
Organization

Contact information

Practice address
2525 NE 139TH ST, SUITE 160, VANCOUVER, WA 98686-2719
(360) 397-2880
(360) 604-1794
Mailing address
2525 NE 139TH ST, PHARMACY SUITE 160, VANCOUVER, WA 98686-2719
(360) 397-2880
(360) 604-1794

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF00058559
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2108657
PK
05
6029078
WA
Enumeration date
06/20/2006
Last updated
12/16/2016
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