NPI 1215487210

Kittitas County Public Hosp Dist 1

Organisation Community/Retail Pharmacy Ellensburg, WA

Practice location

Address: 603 S Chestnut St, Ellensburg, WA 98926-3875
Phone: (509) 925-8484
Fax: (509) 925-8485

Authorised official

Name: Julie Petersen
Title: Interim Ceo
Phone: (509) 962-7301

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PHAR.CF.60588203 (WA)

Other Pharmacy providers in Washington →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1215487210
Entity type: Organization
NPI issued: 13 Oct 2016
Record last updated: 18 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.