Organization
WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Active
Parent organization
WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Other names
WhidbeyHealth Medical Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Authorized official
MR. RON TELLES (CFO)
(360) 678-7656
Entity
Organization
Contact information
Practice address
101 N MAIN ST, COUPEVILLE, WA 98239-3413
(360) 678-7656
(360) 678-7630
Mailing address
101 N MAIN ST, COUPEVILLE, WA 98239-3413
(360) 678-7656
(360) 678-7630
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHAR.CF.00001172
WA
3336I0012X
Institutional Pharmacy
PHAR.CF.00001172
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHAR.CF.00001172
PHARMACY LICENSE
WA
Enumeration date
02/15/2011
Last updated
06/16/2016
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