Organization
THE BARTELL DRUG CO
Active
Other names
BARTELL DRUGS #21
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KOO (SR VP OF PHARMACY)
(206) 763-2626
Entity
Organization
Contact information
Practice address
6619 132ND AVE NE, KIRKLAND, WA 98033-8627
(425) 881-5544
(425) 869-2227
Mailing address
4025 DELRIDGE WAY SW, STE 400, SEATTLE, WA 98106-1249
(206) 767-1316
(206) 767-1397
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00002323
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108171
PK
—
05
—
6144901
—
WA
Enumeration date
08/25/2006
Last updated
12/12/2016
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