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Organization
VIRGINIA MASON MEDICAL CENTER
Active
Organization
VIRGINIA MASON MEDICAL CENTER
Active
Parent organization
VIRGINIA MASON MEDICAL CENTER
Other names
Virginia Mason LINDEMAN PAVILION PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINIA MASON MEDICAL CENTER
Authorized official
ADAM RICCERI (SUPERVISOR)
(206) 341-0550
Entity
Organization
Contact information
Practice address
1201 TERRY AVE, SEATTLE, WA 98101-2735
(206) 625-7202
(206) 625-7216
Mailing address
1201 TERRY AVE, SEATTLE, WA 98101-2735
(206) 625-7202
(206) 625-7216
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
Primary
CF00003715
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108790
PK
—
05
—
6008452
—
WA
Enumeration date
06/13/2005
Last updated
08/15/2022
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