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Organization

COMMUNITY HEALTH OF CENTRAL WASHINGTON

Active
Other names
Central Washington Family Medicine Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA GONZALEZ (CEO)
(509) 494-6700
Entity
Organization

Contact information

Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 494-6719
(509) 494-6711
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF00058354
WA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4931526
NCPDP NUMBER
WA
05
6028567
WA
Enumeration date
09/30/2005
Last updated
10/21/2021
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