Provider Demographics
NPI:1992356067
Name:FRANCISCAN PHARMACY TACOMA
Entity type:Organization
Organization Name:FRANCISCAN PHARMACY TACOMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DME SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:KASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-538-4603
Mailing Address - Street 1:1608 S J ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4930
Mailing Address - Country:US
Mailing Address - Phone:253-426-6912
Mailing Address - Fax:253-538-4612
Practice Address - Street 1:2512 WHEATON WAY STE A
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-3303
Practice Address - Country:US
Practice Address - Phone:253-426-6912
Practice Address - Fax:253-538-4612
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies