Chinook Pharmacy Clinical

NPI #1417528282 in Forks, Washington

Provider Information

NPI Number
1417528282
Entity Type
Organization
Organization Name
Chinook Pharmacy Clinical
Subpart
Yes (part of a larger organization)
Parent Organization
CHINOOK PHARMACY INC.
Primary Specialty
Family Medicine
Enumeration Date
Jul 2, 2021
Last Updated
Jul 2, 2021

Practice Location

Address
11 S FORKS AVE STE A
City
Forks
ZIP Code
98331-9006
Phone
(360) 374-2294

Authorized Official

Name
CHARLES EDWARD CARLSON, RPH
Title
OWNER/RPH
Phone
(360) 374-2294

Specialties & Taxonomy Codes

Specialty
Family Medicine

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