Organization
VIRGINIA MASON MEDICAL CENTER
Active
Parent organization
VIRGINIA MASON MEDICAL CENTER
Other names
Buck Pavilion Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINIA MASON MEDICAL CENTER
Authorized official
MR. HUNG VAN TRUONG PHARMD (MANAGER)
(206) 341-0550
Entity
Organization
Contact information
Practice address
1100 NINTH AVE MS: C1-PO, SEATTLE, WA 98101
(206) 223-6877
(206) 223-7606
Mailing address
1100 NINTH AVE MS: C1-PO, SEATTLE, WA 98101
(206) 223-6877
(206) 223-7606
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
262010301062
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4913782
NCPDP
WA
05
—
6082101
—
WA
Enumeration date
06/13/2005
Last updated
07/22/2019
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