Organization
MULTICARE HEALTH SYSTEMS
Active
Parent organization
MULTICARE HEALTH SYSTEM
Other names
Mary Bridge Retail Clinic 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
311 S L ST, TACOMA, WA 98405-3720
(253) 403-1411
(253) 403-1745
Mailing address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-1411
(253) 403-1745
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60306875
WA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029698
—
WA
01
—
2108400
PK
—
Enumeration date
06/20/2006
Last updated
09/29/2021
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