Organization
SERK APOTHECARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SERKALEM ASSEFA AMEDE PHARMD (PHARMACIST/OWNER)
(206) 313-2950
Entity
Organization
Contact information
Practice address
19410 36TH AVE W STE 3, LYNNWOOD, WA 98036-5747
(425) 835-0281
(425) 835-0284
Mailing address
19410 36TH AVE W STE 3, LYNNWOOD, WA 98036-5747
(425) 835-0281
(425) 835-0284
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60707845
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHR.CF.60707845
STATE LICENSE
WA
Enumeration date
01/03/2017
Last updated
01/03/2017
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