Healthcare Provider Details

I. General information

NPI: 1336511963
Provider Name (Legal Business Name): MULTICARE HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2015
Last Update Date: 12/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S UNION AVE
TACOMA WA
98405-1702
US

IV. Provider business mailing address

315 MARTIN LUTHER KING JR WAY
TACOMA WA
98405-4234
US

V. Phone/Fax

Practice location:
  • Phone: 253-459-6744
  • Fax: 253-459-6207
Mailing address:
  • Phone: 253-403-1078
  • Fax: 253-403-1558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number00003725
License Number StateWA

VIII. Authorized Official

Name: HIEN TRAN
Title or Position: SUPERVISOR
Credential:
Phone: 253-403-3687