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

Washington State Dept of Social and Health Services

Organization Long Term Care Pharmacy · NPI 1457414138

Washington State Dept of Social and Health Services is a Long Term Care Pharmacy in Medical Lake, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

S 2320 Salnave Rd
Medical Lake, WA 99022-0200
Phone: (509) 299-1948
Fax: (509) 299-1967
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 · Licence PHAR.CF.00000468 (WA)

Record details

NPI number1457414138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmen Berg — Clinical Pharmacist Supervisor · (509) 299-1948
Other names Lakeland Village Pharmacy
NPI enumeratedDecember 18, 2006
Last updated in NPPESMarch 7, 2023
Mailing addressPo Box 200, S 2320 Salnave Road, Medical Lake, WA 99022-0200