Organization
PEACEHEALTH
Active
Other names
PeaceHealth Southwest Pharmacy at Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SEIRER (SYS VP FIN INTEGRIT/CONTROLLER)
(360) 729-1132
Entity
Organization
Contact information
Practice address
420 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-2294
(360) 514-2003
Mailing address
420 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-2294
(360) 514-2003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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