Eastern State Hospital Pharmacy
NPI #1679651970 in Medical Lake, Washington
Provider Information
- NPI Number
- 1679651970
- Entity Type
- Organization
- Organization Name
- Eastern State Hospital Pharmacy
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Nov 2, 2006
- Last Updated
- Oct 15, 2018
Practice Location
- Address
- 800 WEST MAPLE STREET
- City
- Medical Lake
- State
- Washington
- ZIP Code
- 99022-0800
- Phone
- (509) 299-3121
Authorized Official
- Name
- RONDA D KENNEY, MPA
- Title
- CHIEF OPERATING OFFICER
- Phone
- (509) 565-4659
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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