Organization
MULTICARE HEALTH SYSTEMS
Active
Organization
MULTICARE HEALTH SYSTEMS
Active
Parent organization
MULTICARE HEALTH SYSTEM
Other names
MultiCare Bonney Lake Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MULTICARE HEALTH SYSTEM
Authorized official
TERESA DIANE HARBERG PHARMD (DIRECTOR, AMBULATORY PHARMACY)
(253) 426-6209
Entity
Organization
Contact information
Practice address
10004 204TH AVE E, SUITE 1200, BONNEY LAKE, WA 98391-6539
(253) 447-3355
(253) 447-3375
Mailing address
10004 204TH AVE E, SUITE 1200, BONNEY LAKE, WA 98391-6539
(253) 447-3355
(253) 447-3375
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF60229221
WA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014454
—
WA
01
—
2131570
PK
—
Enumeration date
08/24/2011
Last updated
09/29/2021
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