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General NPI Number Information
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NPI Number | 1174704514
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Entity Type | Organization
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Legal Business Name | MULTICARE HEALTH SYSTEMS
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 4545 POINT FOSDICK DR NW SUITE 250
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City | GIG HARBOR
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State | WA
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Zip | 98335-1700
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Country | US
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Telephone | 253-530-8030
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Fax | 253-530-8024
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Provider Business Mailing Address
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Address Line | 4545 POINT FOSDICK DR NW SUITE 250
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City | GIG HARBOR
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State | WA
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Zip | 98335-1700
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Country | US
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Telephone | 253-530-8030
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Fax | 253-530-8024
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Authorized Official
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Title or Position | DIRECTOR, AMBULATORY PHARMACY
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Name | TERESA DIANE HARBERG
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Credential | PHARMD
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Telephone | 253-426-6209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHAR.CF.00059273
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License Number State | WA
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