COMMUNITY HEALTH CARE
10510 Gravelly Lake Dr Sw
Lakewood, WA 98499
253-589-7190
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | WA | PHARCF00057391 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
6026421 | WA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 4930194 | OTHER |