Organization · NPI-2
Public Hospital District #1
Specialist · Mount Vernon, WA
NPI number1437224730
StatusActive
Last updated in NPPESDec 8, 2017
Details
- NPI
- 1437224730
- Entity type
- Organization (NPI-2)
- Legal business name
- Public Hospital District #1
- Organization subpart
- No
- Enumeration date
- Nov 21, 2006
- Last updated
- Dec 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | H-207 | WA | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336I0012X | Pharmacy, Institutional Pharmacy | H-2017 | WA |
Practice location
1415 E Kincaid StMount Vernon, WA 98274-4126
Phone 360-424-4111
Mailing address
1415 E Kincaid StMount Vernon, WA 98274-4126
Phone 360-424-4111
Authorized official
Paul Ishizuka
Cfo
3608145838
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