Organization
WESTSIDE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NG PHARM.D. (PRES)
(206) 937-5722
Entity
Organization
Contact information
Practice address
5401 CALIFORNIA AVE SW, SEATTLE, WA 98136-1512
(206) 937-5722
(206) 935-0118
Mailing address
5401 CALIFORNIA AVE SW, SEATTLE, WA 98136-1512
(206) 937-5722
(206) 935-0118
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF00001707
WA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4913338
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6007421
—
WA
Enumeration date
08/10/2006
Last updated
03/06/2008
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