Organization
WASHINGTON INSTITUTE FOR COAGULATION
Active
Parent organization
WA INSTITUTE FOR COAGULATION
Other names
WA Center for Bleeding Disorder Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WA INSTITUTE FOR COAGULATION
Authorized official
DR. REBECCA KRUSE-JARRES MD (EXECUTIVE OFFICER)
(206) 614-1200
Entity
Organization
Contact information
Practice address
701 PIKE ST STE 1900, SEATTLE, WA 98101-3932
(206) 614-1200
(206) 614-1700
Mailing address
701 PIKE ST STE 1900, SEATTLE, WA 98101-3932
(206) 614-1200
(206) 614-1700
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023678240
—
WA
Enumeration date
06/19/2019
Last updated
04/14/2021
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