Organization
PPGNW - ID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WENDT (REVENUE CYCLE DIRECTOR)
(206) 628-3826
Entity
Organization
Contact information
Practice address
2001 E MADISON ST, SEATTLE, WA 98122-2959
(206) 328-7734
Mailing address
2001 E MADISON ST, SEATTLE, WA 98122-2959
(206) 328-7734
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
19941PDO
ID
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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