Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Other names
Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN DAVIS (COO)
(509) 865-6175
Entity
Organization
Contact information
Practice address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 526-6967
(509) 526-6968
Mailing address
2601 COMMERCE LN, YAKIMA, WA 98901-5801
(509) 865-6175
(509) 865-0840
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF000055923
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4925840
NCPDP
WA
05
—
6020192
—
WA
Enumeration date
10/05/2006
Last updated
06/30/2023
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