Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Parent organization
YAKIMA VALLEY FARM WORKER CLINIC
Other names
Rosewood Family Health Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
YAKIMA VALLEY FARM WORKER CLINIC
Authorized official
RUSSELL HEATON (VP OF PHARMACY BUSINESS OPERATIONS)
(509) 865-6175
Entity
Organization
Contact information
Practice address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(503) 772-8755
(503) 788-6464
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
—
3847538
NCPDP
WA
Enumeration date
11/23/2022
Last updated
06/30/2023
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