Peacehealth
NPI #1811252687 in Longview, Washington
Provider Information
- NPI Number
- 1811252687
- Entity Type
- Organization
- Organization Name
- Peacehealth
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 9, 2012
- Last Updated
- Feb 16, 2022
Practice Location
- Address
- 1615 DELAWARE ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2367
- Phone
- (360) 414-7451
Authorized Official
- Name
- CHARMAINE MODE
- Title
- MGR PHARMACY SJM - PHARMACY
- Phone
- (360) 414-7656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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