Organization
ST. JOSEPH MEDICAL CENTER
Active
Organization
ST. JOSEPH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK RAKE-MARONA (DIRECTOR OF HOSPICE)
(253) 234-7026
Entity
Organization
Contact information
Practice address
2901 BRIDGEPORT WAY W STE 123, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7033
(253) 534-7012
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 534-7033
(253) 534-7012
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
FL00058038
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4931196
NABP NUMBER
WA
05
—
6027973
—
WA
Enumeration date
02/15/2007
Last updated
08/22/2020
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