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COMMUNITY HEALTH ASSOCIATION OF SPOKANE NPI 1134512874


NPI Information

NPI: 1134512874
Provider Name: COMMUNITY HEALTH ASSOCIATION OF SPOKANE

Doing Business As: CHAS PERRY STREET PHARMACY

Classification: Pharmacy - 3336M0003X
Entity Type: Organization

Specialization: Managed Care Organization Pharmacy

Address:
817 S PERRY ST
SPOKANE, WA
ZIP 99202
Phone: (509) 343-1116
Get Directions

COMMUNITY HEALTH ASSOCIATION OF SPOKANE is a managed care organization pharmacy pharmacy in Spokane, WA. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. COMMUNITY HEALTH ASSOCIATION OF SPOKANE NPI is 1134512874. The provider is registered as an organization entity type.
The provider Is Doing Business As Chas Perry Street Pharmacy.

The provider's business location address is:

817 S PERRY ST
SPOKANE, WA
ZIP 99202-400
Phone: (509) 343-1116

The provider's authorized official is Aaron Wilson .
The authorized official title is Ceo and has the following contact phone number (509) 444-8888.

The enumeration date for this NPI number is 3/5/2015 and was last updated on 6/14/2023.


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
23336M0003XPharmacyManaged Care Organization PharmacyPHARCF60530096WASHINGTONYes

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
12074305MEDICAIDWASHINGTON
22149808OTHERPK

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

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