Organization
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Active
Other names
SKAGIT VALLEY HOSPITAL OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD THURMAN (DIR OF PHCY)
(360) 428-2425
Entity
Organization
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(630) 428-8528
(360) 814-5097
Mailing address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(630) 428-8528
(360) 814-5097
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00059152
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932706
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6004600
—
WA
Enumeration date
10/19/2007
Last updated
09/06/2011
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