Organization
VACCINES 2U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL HARVEY PHARMD (OWNER)
(509) 475-1347
Entity
Organization
Contact information
Practice address
12418 E SALTESE AVE, SPOKANE VALLEY, WA 99216-0357
(509) 475-1347
Mailing address
12418 E SALTESE AVE, SPOKANE VALLEY, WA 99216-0357
(509) 475-1347
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PHHC.FX.60543314
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184614893
—
WA
Enumeration date
06/23/2015
Last updated
06/23/2015
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