Organization
SOUTHWEST WASHINGTON MED CTR OUTPATIENT PHARMACY
Active
Organization
SOUTHWEST WASHINGTON MED CTR OUTPATIENT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA M CASWELL PHARMACIST (OUTPATIENT PHARMACY MANAGER)
(360) 514-2349
Entity
Organization
Contact information
Practice address
420 NE MOTHER JOSEPH PLACE, VANCOUVER, WA 98664
(360) 514-2349
(360) 514-1775
Mailing address
PO BOX 1600, VANCOUVER, WA 98668-1600
(360) 514-2349
(360) 514-1775
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00005072
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005391
—
WA
Enumeration date
05/24/2007
Last updated
08/22/2020
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