Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Active
Other names
Valley View Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GAELON SPRADLEY (CHIEF EXECUTIVE OFFICER)
(360) 330-9555
Entity
Organization
Contact information
Practice address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 669-0600
(360) 669-0602
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 669-0600
(360) 669-0602
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHARCF60615205
WA
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156048
PK
—
Enumeration date
12/31/2015
Last updated
01/29/2024
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