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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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