Organization
THE BARTELL DRUG COMPANY
Active
Organization
THE BARTELL DRUG COMPANY
Active
Parent organization
THE BARTELL DRUG COMPANY
Other names
Bartell Drugs 13
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE BARTELL DRUG COMPANY
Authorized official
MR. R. LEON RUSSELL (PHARMACY OPERATIONS COORDINATOR)
(206) 767-1375
Entity
Organization
Contact information
Practice address
424 BELLEVUE WAY NE, BELLEVUE, WA 98004-5015
(425) 454-3194
(425) 455-5163
Mailing address
4727 DENVER AVE S, SEATTLE, WA 98134-2316
(206) 767-1375
(206) 767-1397
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00000057
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4902094
NCPDP
WA
01
—
6034102
MEDICAID DME
WA
05
—
6034102
—
WA
01
—
P00070933
MEDICARE B RAILROAD
WA
Enumeration date
08/24/2006
Last updated
11/14/2007
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