Provider Demographics
NPI:1588349856
Name:CENTRAL WASHINGTON HEALTH SERVICES ASSOCATION
Entity type:Organization
Organization Name:CENTRAL WASHINGTON HEALTH SERVICES ASSOCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:POTTS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:509-433-3030
Mailing Address - Street 1:1201 S MILLER ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-3201
Mailing Address - Country:US
Mailing Address - Phone:509-433-3030
Mailing Address - Fax:509-433-3008
Practice Address - Street 1:102 CAMELIA ST NW
Practice Address - Street 2:
Practice Address - City:ROYAL CITY
Practice Address - State:WA
Practice Address - Zip Code:99357
Practice Address - Country:US
Practice Address - Phone:509-764-6447
Practice Address - Fax:509-764-6435
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy