| NPI | 1760787097 |
|---|---|
| Doing Business As | WESTERN STATE HOSPITAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SKINNER Physician Credential Manager 253-756-3966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2019-11-01 |