Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Other names
Providence Infusion and Pharm Serv, PROVIDENCE INFUSION AND PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
15918 E EUCLID AVE, SPOKANE VALLEY, WA 99216-1815
(509) 924-1826
(509) 924-6258
Mailing address
PO BOX 24292, SEATTLE, WA 98124-0292
(509) 924-1826
(509) 924-6258
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
—
—
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
04/24/2026
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