Quincy Community Health Center Pharmacy
Organization Active NPI Clinic Pharmacy · Quincy, WA
NPI 1629564679 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1629564679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- License
- PENDING (WA)
- Legal business name
- QUINCY COMMUNITY HEALTH CENTER PHARMACY
- Practice address
- 1450 1St Ave SW
Quincy, WA 98848-1695 - Phone
- (509) 787-6423
- Fax
- (509) 764-0344
- NPI assigned
- Jul 2, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- MOSES LAKE COMMUNITY HEALTH CENTER
Authorized official
- Name
- Sheila Chilson
- Title
- Ceo
- Phone
- (509) 766-8971
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Moses Lake Comm HLTH CNTR
- Part of
- Moses Lake Comm HLTH CNTR
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | PENDING | WA | Yes |
Addresses
Primary practice location
1450 1St Ave SW
Quincy, WA 98848-1695
Mailing address
605 S Coolidge St
Moses Lake, WA 98837-1893
Phone (509) 765-0674
Other providers in Quincy, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.