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COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY NPI 1356531990


NPI Information

NPI: 1356531990
Provider Name: COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY

Doing Business As: CHC OF SNOHOMISH COUNTY EVERETT-SOUTH PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1019 112TH ST SW
EVERETT, WA
ZIP 98204
Phone: (425) 551-6521
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COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY is a clinic pharmacy pharmacy in Everett, WA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY NPI is 1356531990. The provider is registered as an organization entity type.
The provider Is Doing Business As Chc Of Snohomish County Everett-south Pharmacy.

The provider's business location address is:

1019 112TH ST SW
EVERETT, WA
ZIP 98204-875
Phone: (425) 551-6521
Fax: (425) 551-6525

The provider's authorized official is Joe Vessey .
The authorized official title is Chief Executive Officer and has the following contact phone number (425) 789-3700.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 11/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyPHAR.CF.00059092WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11054803MEDICAIDWASHINGTON
22109097OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.