Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Active
Other names
Valley View Health Center Pharmacy #004
Organization subpart
No
Provider details
NPI number
Authorized official
GAELON B SPRADLEY (CEO)
(360) 330-9555
Entity
Organization
Contact information
Practice address
4254 JACKSON HWY, CHEHALIS, WA 98532-8424
(360) 996-3733
(360) 669-0602
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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