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Organization

DEPARTMENT OF SOCIAL

Active
Parent organization
WESTERN STATE HOSPITAL
Other names
Western State Hospital Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTERN STATE HOSPITAL
Authorized official
STEPHANIE SKINNER (PHYSICIAN CREDENTIAL MANAGER)
(253) 756-3966
Entity
Organization

Contact information

Practice address
9601 STELLACOOM BLVD SW, TACOMA, WA 98498
(253) 756-2521
(253) 756-2707
Mailing address
9601 STEILACOOM BLVD SW, TACOMA, WA 98498
(253) 756-2521
(253) 756-2707

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy

Other

Enumeration date
01/18/2011
Last updated
11/01/2019
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