Organization
MULTICARE HEALTH SYSTEM
Active
Other names
Mary Bridge Ambulatory Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HIEN TRAN (PHARMACY SUPERVISOR)
(253) 403-3687
Entity
Organization
Contact information
Practice address
311 S L ST, MS: 311-1-RX, TACOMA, WA 98405-3720
(253) 403-1411
(253) 403-1745
Mailing address
315 MARTIN LUTHER KING JR WAY, MS: 315-C2-RX, TACOMA, WA 98405-4234
(253) 403-1078
(253) 403-1558
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
60521169
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154770
PK
—
Enumeration date
10/22/2015
Last updated
10/22/2015
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