Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Other names
Yakima Valley Farm Workers Clinic - Toppenish
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN DAVIS (COO)
(509) 865-6175
Entity
Organization
Contact information
Practice address
510 WEST FIRST AVENUE, TOPPENISH, WA 98948
(509) 865-3355
(509) 865-2316
Mailing address
510 WEST FIRST AVENUE, TOPPENISH, WA 98948
(509) 865-6175
(509) 865-0840
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
FO00001916
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4914025
NCPDP
WA
05
—
6008957
—
WA
Enumeration date
10/05/2006
Last updated
06/30/2023
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