Eastern State Hospital Pharmacy
Long Term Care Pharmacy
800 West Maple Street, Medical Lake
Washington, 99022-0800
509-299-3121 509-299-7015
Eastern State Hospital Pharmacy is a Long Term Care Pharmacy in Medical Lake, Washington. It is located at 800 West Maple Street, Medical Lake and it's customer support contact number is 509-299-3121. The authorized person of Eastern State Hospital Pharmacy is Ronda D Kenney, MPA who is Chief Operating Officer of the pharmacy and his contact number is 509-565-4659.
Eastern State Hospital Pharmacy is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Eastern State Hospital Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Eastern State Hospital Pharmacy |
| Type: | Long Term Care Pharmacy |
| Location: | 800 West Maple Street, Medical Lake,
Washington, 99022-0800 |
| Phone: | 509-299-3121 |
| Fax: | 509-299-7015 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ronda D Kenney |
| Credentials: | MPA |
| Position: | Chief Operating Officer |
| Contact Number: | 509-565-4659 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1679651970 |
| NPI Enumeration Date: | 02 Nov, 2006 |
| NPI Last Update On: | 15 Oct, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eastern State Hospital Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
| Psychiatric Hospital | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 850 Maple Street,
Medical Lake, Washington |
| Zip: | 99022 |
| Phone Number: | 509-565-4659 |
| Fax Number: | 509-565-7015 |
Patients can reach Eastern State Hospital Pharmacy at
800 West Maple Street, Medical Lake, Washington or can
call on customer care at 509-299-3121.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.