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NPI 1720450356

NPI 1720450356 : MULTICARE HEALTH SYSTEMS : TACOMA, WA

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General NPI Number Information
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    NPI Number           |    1720450356
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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     |    10/22/2015
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    315 MARTIN LUTHER KING JR WAY MS 315-C2-RX
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98405-4234
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    Country              |    US
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    Telephone            |    253-403-1078
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    Fax                  |    253-403-1558
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Provider Business Mailing Address
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    Address Line         |    315 MARTIN LUTHER KING JR WAY MS 315-C2-RX
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98405-4234
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    Country              |    US
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    Telephone            |    253-403-1078
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    Fax                  |    253-403-1558
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Authorized Official
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    Title or Position    |    SUPERVISOR
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    Name                 |     HIEN  TRAN 
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    Credential           |    
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    Telephone            |    253-403-3687
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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        |    3336I0012X
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    Taxonomy Name        |    Institutional 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       |    PHAR.CF.00002021-HOS
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    License Number State |    WA
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