Organization
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Active
Other names
Virginia Garcia Memorial Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE C HICKS RPH (PHARMACY DIRECTOR)
(503) 352-8553
Entity
Organization
Contact information
Practice address
1151 N ADAIR ST, CORNELIUS, OR 97113-8900
(503) 352-8552
(503) 352-8554
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 352-8553
(503) 352-8554
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
RP-0003141-CS
OR
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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