Organization
SPECIALTY PHARMACIES, INC.
Active
Other names
Cherry Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL J. FICHERA (SENIOR VICE PRESIDENT AND TREASURER)
(508) 297-1018
Entity
Organization
Contact information
Practice address
1120 CHERRY ST, SEATTLE, WA 98104-2044
(206) 624-1391
(206) 624-1791
Mailing address
1120 CHERRY ST, SEATTLE, WA 98104-2044
(206) 624-1391
(206) 624-1791
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF00058164
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4929595
NCPDP PROVIDER ID
—
05
—
6025514
—
WA
01
—
PHAR.CF.00058164
STATE LICENSE
WA
Enumeration date
05/05/2006
Last updated
03/07/2023
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