Organization
BCWA HEALTH SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FARIS RPH (PIC)
(360) 685-4282
Entity
Organization
Contact information
Practice address
1313 E MAPLE ST, STE 103, BELLINGHAM, WA 98225-5708
(360) 685-4282
(360) 685-4283
Mailing address
1313 E MAPLE ST, STE 103, BELLINGHAM, WA 98225-5708
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
FL00058443
WA
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932011
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/12/2006
Last updated
09/11/2025
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