Organization
COLVILLE MEDICAL CENTER
Active
Other names
NORTHEAST WASHINGTON MED GROUP PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KASCHMITTER (DIR OF PHARMACY)
(509) 684-7727
Entity
Organization
Contact information
Practice address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 684-7727
(509) 684-7711
Mailing address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 684-7727
(509) 684-7711
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PHARCF00056735
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4926436
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6022735
—
WA
Enumeration date
10/12/2005
Last updated
08/23/2012
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