Healthcare Provider Details

I. General information

NPI: 1710359344
Provider Name (Legal Business Name): MULTICARE HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

311 S L ST MS: 311-1-RX
TACOMA WA
98405-3720
US

IV. Provider business mailing address

315 MARTIN LUTHER KING JR WAY MS: 315-C2-RX
TACOMA WA
98405-4234
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-1411
  • Fax: 253-403-1745
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 Number60521169
License Number StateWA

VIII. Authorized Official

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