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General NPI Number Information
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NPI Number | 1396005294
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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 | 05/24/2012
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 2209 N PEARL ST STE 100
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City | TACOMA
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State | WA
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Zip | 98406-2529
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Country | US
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Telephone | 253-459-7144
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Fax | 253-459-7143
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Provider Business Mailing Address
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Address Line | 2209 N PEARL ST STE 100
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City | TACOMA
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State | WA
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Zip | 98406-2529
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Country | US
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Telephone | 253-447-3355
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Fax | 253-447-3375
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Authorized Official
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Title or Position | PHARMACY SUPERVISOR
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Name | HIEN TRAN
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Credential | PHARMD
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Telephone | 253-447-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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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 #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.60283641
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License Number State | WA
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