Tulalip Clinical Pharmacy

LBN: Tulalip Clinical Pharmacy
Tulalip Clinical Pharmacy is an health care organization with primary practice located at 8825 34Th Ave Ne Suite A, Tulalip WA 98271-8085. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Tulalip Clinical Pharmacy can be contacted via phone (360) 716-2660, or through Goodman, Margaret via phone (360) 716-2664.

Contact Information

Primary practice address
8825 34Th Ave Ne Suite A Tulalip WA 98271-8085
Phone: (360) 716-2660
Fax: (360) 716-3660
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Margaret
Phone: (360) 716-2664

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Pharmacy 333600000X CF00055944 Washington
Suppliers / Clinic Pharmacy 3336C0002X CF00055944 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X CF00055944 Washington

Profile Details

NPI number 1619193570
LBN Legal business name Tulalip Clinical Pharmacy
DBA Doing business as
Authorized official Goodman, Margaret
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Jul 21st, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619193570 NPPES
Washington MEDICAID 6019939

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