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VANCOUVER CLINIC INC NPI 1376688903


NPI Information

NPI: 1376688903
Provider Name: VANCOUVER CLINIC INC

Doing Business As: THE VANCOUVER CLINIC PHARMACY COLUMBIA TECHNOLOGY CENTER

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 50D0902995

Address:
501 SE 172ND AVE STE 120
VANCOUVER, WA
ZIP 98684
Phone: (360) 397-3602
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VANCOUVER CLINIC INC is a community/retail pharmacy pharmacy in Vancouver, WA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. VANCOUVER CLINIC INC NPI is 1376688903. The provider is registered as an organization entity type.
The provider Is Doing Business As The Vancouver Clinic Pharmacy Columbia Technology Center.

The provider's business location address is:

501 SE 172ND AVE STE 120
VANCOUVER, WA
ZIP 98684-542
Phone: (360) 397-3602
Fax: (360) 604-1791

The provider's authorized official is Larissa Morrow .
The authorized official title is Pharmacy Manager and has the following contact phone number (360) 397-3314.

The CLIA number assigned to this NPI record is 50D0902995 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 12/13/2016.


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
23336C0003XPharmacyCommunity/Retail PharmacyPHAR.CF.00057948WASHINGTONYes

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
16027991MEDICAIDWASHINGTON
22108382OTHERPK

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: 11/14/2023

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.