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, Quil Ceda Village WA 98271-8085. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Tulalip Clinical Pharmacy can be contacted via phone (360) 716-2660, or through Lee, Kelvin via phone (360) 716-2660.

Contact Information

Primary practice address
8825 34Th Ave Ne Suite A Quil Ceda Village WA 98271-8085
Phone: (360) 716-2660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Kelvin
Phone: (360) 716-2660

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR.CF.00055944 Washington

Profile Details

NPI number 1710413224
LBN Legal business name Tulalip Clinical Pharmacy
DBA Doing business as
Authorized official Lee, Kelvin
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2017
Last updated May 3rd, 2017 - about 9 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 1710413224 NPPES
Washington MEDICAID 6019939

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