Organization
FRANCISCAN HEALTH SYSTEM
Active
Other names
Franciscan Compounding Pharmacy St. Clare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH SINAY (MANAGER)
(253) 426-6692
Entity
Organization
Contact information
Practice address
11315 BRIDGEPORT WAY SW STE A1087, LAKEWOOD, WA 98499-3004
(253) 985-6290
Mailing address
11315 BRIDGEPORT WAY SW STE A1087, LAKEWOOD, WA 98499-3004
(253) 985-6290
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF60165416
BOARD OF PHARMACY
WA
Enumeration date
09/28/2010
Last updated
09/28/2010
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