Organization
VANCOUVER CLINIC INC
Active
Other names
THE VANCOUVER CLINIC PHARMACY Columbia Technology Center
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA MORROW (PHARMACY MANAGER)
(360) 397-3314
Entity
Organization
Contact information
Practice address
501 SE 172ND AVE STE 120, VANCOUVER, WA 98684-9542
(360) 397-3602
(360) 604-1791
Mailing address
501 SE 172ND AVE STE 120, VANCOUVER, WA 98684-9542
(360) 397-3602
(360) 604-1791
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.00057948
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108382
PK
—
05
—
6027991
—
WA
Enumeration date
02/21/2007
Last updated
12/13/2016
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