Organization
OUR LADY OF LOURDES HEALTH CENTER
Active
Other names
Lourdes Counseling Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY CLARK (PIC/DIRECTOR OF PHARMACY)
(509) 546-2298
Entity
Organization
Contact information
Practice address
1175 CARONDELET DR, ATTN: PHARMACY, RICHLAND, WA 99354-3300
(509) 946-7108
(509) 543-2414
Mailing address
ATTN: PHARMACY, 1175 CARONDELET DRIVE, RICHLAND, WA 99354
(509) 946-7108
(509) 543-2414
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
PHAR.CF.6048122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160592
PK
—
Enumeration date
02/22/2016
Last updated
07/20/2016
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