Organization
CENTRAL HOSP GROUP HLTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MCKENNA PHARMD (PHARMACY MGR)
(425) 883-5590
Entity
Organization
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-2880
(206) 326-3320
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HF00001616
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4912451
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
06/23/2021
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