INTERFAITH COMMUNITY HEALTH CENTER (INTERFAITH PHARMACY) - NPI NUMBER 1386089761

Summary

Provider Name: INTERFAITH COMMUNITY HEALTH CENTER (INTERFAITH PHARMACY)

NPI Number: 1386089761

Clasification: Pharmacy (3336C0002X)

Specialization: Clinic Pharmacy

Address:
220 UNITY ST
BELLINGHAM, WA
ZIP 98225

Phone Number: (360) 676-6177



Detailed Information

INTERFAITH COMMUNITY HEALTH CENTER is a clinic pharmacy pharmacy in Bellingham, 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. The assigned NPI number for this provider is 1386089761 and is registered as an organization entity type.
The provider Is Doing Business As Interfaith Pharmacy.

The provider's business address is:

220 UNITY ST
BELLINGHAM, WA
ZIP 98225-429
Phone: (360) 676-6177

The provider's authorized official is Desmond Skubi .
The authorized official title is Executive Director and has the following contact phone number (360) 676-6177.

The enumeration date for this NPI number is 4/30/2013 and was last updated on 4/30/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 3336C0002X Pharmacy Clinic Pharmacy No
2 3336C0003X Pharmacy Community/Retail Pharmacy Yes

NPI Record

No. Field Name Field Value
1 NPI 1386089761
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name INTERFAITH COMMUNITY HEALTH CENTER
5 Provider Other Organization Name INTERFAITH PHARMACY
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 220 UNITY ST
8 Provider Business Practice Location Address City Name BELLINGHAM
9 Provider Business Practice Location Address State Name WA
10 Provider Business Practice Location Address Postal Code 982254429
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 3606766177
13 Provider Enumeration Date 4/30/2013
14 Last Update Date 4/30/2013
15 Authorized Official Last Name SKUBI
16 Authorized Official First Name DESMOND
17 Authorized Official Title or Position EXECUTIVE DIRECTOR
18 Authorized Official Telephone Number 3606766177
19 Healthcare Provider Taxonomy Code 1 3336C0002X
20 Healthcare Provider Primary Taxonomy Switch 1 N
21 Healthcare Provider Taxonomy Code 2 3336C0003X
22 Healthcare Provider Primary Taxonomy Switch 2 Y
23 Is Organization Subpart N

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This page was last updated on: 10/12/2014
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.