Organization
VANCOUVER CLINIC INC
Active
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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