COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY NPI 1003948738

NPI Information

NPI: 1003948738
Provider Name: COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY

Other Name: COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY LYNNWOOD PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
4111 194TH ST SW
SUITE 300
LYNNWOOD, WA
ZIP 98036
Phone: (425) 835-5202
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COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY is a clinic pharmacy pharmacy in Lynnwood, 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 1003948738. The provider is registered as an organization entity type.
The provider Other Name Is Community Health Center Of Snohomish County Lynnwood Pharmacy.

The provider's business location address is:

4111 194TH ST SW
SUITE 300
LYNNWOOD, WA
ZIP 98036-604
Phone: (425) 835-5202
Fax: (425) 835-5203

The provider's authorized official is Robert M Farrell .
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 3/9/2007 and was last updated on 11/16/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy	CF00057233	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6026488	MEDICAID	WASHINGTON

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: 5/5/2024

NPI Synchronization or Removal

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