Organization
THE BARTELL DRUG CO
Active
Other names
Bartell Drugs #71
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KOO (SR VP OF PHARMACY)
(206) 763-2626
Entity
Organization
Contact information
Practice address
5625 22ND AVE NW, SEATTLE, WA 98107-3119
(206) 783-3051
(206) 784-9272
Mailing address
4025 DELRIDGE WAY SW, SUITE #400, SEATTLE, WA 98106-1249
(206) 763-2626
(206) 767-1397
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHAR.CF.6065894
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163696
PK
—
Enumeration date
09/08/2016
Last updated
12/16/2016
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