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Organization

COMMUNITY HEALTH CARE

Active
Other names
COMMUNITY HEALTH CARE PHARMACY - Lakewood
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID FLENTGE (CEO)
(253) 597-4550
Entity
Organization

Contact information

Practice address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 589-7190
(253) 284-4385
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 597-4550

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHARCF00057391
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4930194
NCPDP PROVIDER IDENTIFICATION NUMBER
05
6026421
WA
Enumeration date
11/27/2006
Last updated
06/07/2019
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