Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Parent organization
YAKIMA VALLEY FARM WORKERS CLINIC
Other names
Mirasol Family Health Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
YAKIMA VALLEY FARM WORKERS CLINIC
Authorized official
GLEN DAVIS (COO)
(509) 865-6175
Entity
Organization
Contact information
Practice address
589 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 564-5176
(541) 567-6860
Mailing address
2601 COMMERCE LN, YAKIMA, WA 98901-5801
(509) 865-6175
(509) 865-0840
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3846586
NCPDP
OR
Enumeration date
05/17/2019
Last updated
06/30/2023
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