Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
Parent organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Other names
ID Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Authorized official
HERMES SHAHBAZIAN (CFO)
(206) 788-3618
Entity
Organization
Contact information
Practice address
720 8TH AVE S, SEATTLE, WA 98114-3007
(206) 788-3770
(206) 788-3705
Mailing address
P.O. BOX 3007, SEATTLE, WA 98114-3007
(206) 788-3770
(206) 788-3705
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF.60114707
WA
3336C0003X
Community/Retail Pharmacy
CF00056068
WA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6019293
—
WA
Enumeration date
03/13/2007
Last updated
03/29/2021
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