Organization · NPI-2

Public Hospital Dist No 1 Skagit

Pharmacy, Community/Retail Pharmacy · Mount Vernon, WA

NPI number1831131135

StatusActive

Last updated in NPPESFeb 20, 2017

Details

NPI: 1831131135
Entity type: Organization (NPI-2)
Legal business name: Public Hospital Dist No 1 Skagit
Organization subpart: No
Enumeration date: Jun 12, 2006
Last updated: Feb 20, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	PHAR.CF.60170291	WA	Yes
3336C0002X	Pharmacy, Clinic Pharmacy	–	–
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
333600000X	Pharmacy	–	–
3336I0012X	Pharmacy, Institutional Pharmacy	–	–

Other names

Skagit Regional Clinics Mount Vernon Pharmacy (Doing Business As)

Practice location

1410 E Kincaid St
Mount Vernon, WA 98274-4127

Phone 360-428-6465 · Fax 360-428-6409

Mailing address

1410 E Kincaid St
Mount Vernon, WA 98274-4127

Phone 360-428-6465 · Fax 360-428-6409

Authorized official

Thomas Litaker
Chief Financial Officer
3604242512

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