Organization
COMMUNITY HEALTH CARE
Active
Other names
Community Health Care Pharmacy - Eastside
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLENTGE (CEO)
(253) 597-4550
Entity
Organization
Contact information
Practice address
1708 E 44TH ST, TACOMA, WA 98404-4611
(253) 284-2226
(253) 284-9108
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 597-4550
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932364
NCPDP NUMBER
WA
01
—
CF00059004
STATE PHARMACY LICENSE
WA
01
—
CF60090671
STATE PHARMACY LICENSE
WA
Enumeration date
05/09/2007
Last updated
06/07/2019
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