Healthcare Provider Details

I. General information

NPI: 1417426511
Provider Name (Legal Business Name): NEW HEALTH PROGRAMS ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5952 BLACKSTONE WAY
NINE MILE FALLS WA
99026-4900
US

IV. Provider business mailing address

5952 BLACKSTONE WAY
NINE MILE FALLS WA
99026-4900
US

V. Phone/Fax

Practice location:
  • Phone: 509-464-3627
  • Fax: 509-466-9517
Mailing address:
  • Phone: 509-464-3627
  • Fax: 509-467-4597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JILL KAY DAMIANO
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 509-935-6001