Organization
RXTRA CARE, INC.
Active
Other names
Rxtra Care Pharmacy at the Mount
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHEAL J. HENRY PD (PHARMACY MANAGER)
(206) 938-6196
Entity
Organization
Contact information
Practice address
4831 35TH AVE SW, SEATTLE, WA 98126-2709
(206) 938-6196
(206) 938-6197
Mailing address
4831 35TH AVE SW, SEATTLE, WA 98126-2709
(206) 938-6196
(206) 938-6197
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4930625
NCPDP
—
05
—
6027221
—
WA
Enumeration date
02/27/2007
Last updated
03/07/2023
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