COUNTRY DOCTOR COMMUNITY CLINIC NPI 1902027253

NPI Information

NPI: 1902027253
Provider Name: COUNTRY DOCTOR COMMUNITY CLINIC

Doing Business As: CAROLYN DOWNS FAMILY MEDICAL CENTER PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 50D2208675

Address:
2101 E YESLER WAY
SUITE 150
SEATTLE, WA
ZIP 98122
Phone: (206) 299-1900
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COUNTRY DOCTOR COMMUNITY CLINIC is a clinic pharmacy pharmacy in Seattle, 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. COUNTRY DOCTOR COMMUNITY CLINIC NPI is 1902027253. The provider is registered as an organization entity type.
The provider Is Doing Business As Carolyn Downs Family Medical Center Pharmacy.

The provider's business location address is:

2101 E YESLER WAY
SUITE 150
SEATTLE, WA
ZIP 98122-959
Phone: (206) 299-1900
Fax: (206) 299-1920

The provider's authorized official is Maria Saucedo .
The authorized official title is Credentialing Specialist and has the following contact phone number (206) 709-7112.

The CLIA number assigned to this NPI record is 50D2208675 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 1/26/2024.

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			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	PHAR.CF.00004988	OTHER	WASHINGTON	LICENSE NUMBER

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

NPI Synchronization or Removal

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