Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern State Hospital Pharmacy

Organization Psychiatric Hospital · NPI 1679651970

Eastern State Hospital Pharmacy is a Psychiatric Hospital in Medical Lake, Washington. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

800 W Maple St
Medical Lake, WA 99022-0800
Phone: (509) 299-3121
Fax: (509) 299-7015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X
Psychiatric Hospital Taxonomy 283Q00000X

Record details

NPI number1679651970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronda Kenney — Chief Operating Officer · (509) 565-4659
NPI enumeratedNovember 2, 2006
Last updated in NPPESOctober 15, 2018
Mailing address850 Maple Street, Medical Lake, WA 99022

Other providers in Medical Lake