Providence Health & Services Wa
NPI #1033558457 in Walla Walla, Washington
Provider Information
- NPI Number
- 1033558457
- Entity Type
- Organization
- Organization Name
- Providence Health & Services Wa
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Jun 19, 2013
- Last Updated
- Jun 19, 2013
Practice Location
- Address
- 401 W POPLAR ST
- Address 2
- PHARMACY
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2846
- Phone
- (509) 525-3320
Authorized Official
- Name
- MR. STEVEN BURDICK
- Title
- CEO
- Phone
- (509) 525-3320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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