Organization
BAINBRIDGE ISLAND COMMUNITY PHARMACY LLC
Active
Other names
Bainbridge Island Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JOWETT TAN (MEMBER)
(206) 780-7809
Entity
Organization
Contact information
Practice address
124 WINSLOW WAY W, BAINBRIDGE ISLAND, WA 98110-2512
(206) 780-7809
(206) 842-7801
Mailing address
124 WINSLOW WAY W, BAINBRIDGE ISLAND, WA 98110-2512
(206) 780-7809
(206) 842-7801
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2082015
—
WA
01
—
2168189
PK
—
Enumeration date
03/06/2017
Last updated
12/06/2023
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