Washington State Dept of Social and Health Services
NPI #1457414138 in Medical Lake, Washington
Provider Information
- NPI Number
- 1457414138
- Entity Type
- Organization
- Organization Name
- Washington State Dept of Social and Health Services
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- S 2320 SALNAVE ROAD
- City
- Medical Lake
- State
- Washington
- ZIP Code
- 99022-0200
- Phone
- (509) 299-1948
Authorized Official
- Name
- CARMEN JOY BERG, RPH
- Title
- CLINICAL PHARMACIST SUPERVISOR
- Phone
- (509) 299-1948
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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