Organization
MULTICARE HEALTH SYSTEMS
Active
Organization
MULTICARE HEALTH SYSTEMS
Active
Parent organization
MULTICARE HEALTH SYSTEM
Other names
MultiCare Good Sam Outpatient Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MULTICARE HEALTH SYSTEM
Authorized official
TERESA DIANE HARBERG PHARMD (DIRECTOR, AMBULATORY PHARMACY)
(253) 426-6209
Entity
Organization
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-3494
Mailing address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-3494
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF60229229
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015487
—
WA
01
—
2132866
PK
—
Enumeration date
12/02/2011
Last updated
09/29/2021
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