Organization
QFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARSHALL RPH (PHARMACY MANAGER)
(425) 888-2357
Entity
Organization
Contact information
Practice address
460 E NORTH BEND WAY, NORTH BEND, WA 98045-8270
(425) 888-2357
(425) 831-1953
Mailing address
460 E NORTH BEND WAY, PO BOX 329, NORTH BEND, WA 98045-8270
(425) 888-2357
(425) 831-1953
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH00009475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6024574
—
WA
01
—
911330075
TAX ID
—
Enumeration date
06/04/2012
Last updated
06/04/2012
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