Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Other names
PENINSULA COMMUNITY HEALTH SERVICES PT ORCHARD
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KREIDLER-MOSS PHARMD (CEO)
(360) 478-2833
Entity
Organization
Contact information
Practice address
320 S KITSAP BLVD, PORT ORCHARD, WA 98366-3778
(360) 874-5583
(360) 895-5654
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 478-2366
(360) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF00058729
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108674
PK
—
05
—
6029490
—
WA
Enumeration date
08/11/2006
Last updated
09/16/2016
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