Organization
THE BARTELL DRUG CO
Active
Other names
Bartell Drugs #91
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KOO (SR VP OF PHARMACY)
(206) 763-2626
Entity
Organization
Contact information
Practice address
4420 76TH ST NE, MARYSVILLE, WA 98270-3726
(360) 651-7410
(360) 651-7415
Mailing address
4025 DELRIDGE WAY SW STE 400, SUITE 400, SEATTLE, WA 98106-1273
(206) 763-2626
(206) 767-1397
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60371681
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140543
PK
—
Enumeration date
05/09/2013
Last updated
09/19/2025
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