Organization
MADRONA HEALTH, LLC
Active
Other names
Madrona Pharmacy, Virginia Mason Georgetown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HUNG VAN TRUONG PHARMD, MBA (EXECUTIVE DIRECTOR)
(206) 341-3300
Entity
Organization
Contact information
Practice address
5959 CORSON AVE S STE C-1, SEATTLE, WA 98108-2605
(206) 341-3300
(206) 341-3329
Mailing address
5959 CORSON AVE S STE C-1, SEATTLE, WA 98108-2605
(206) 341-3300
(206) 341-3329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF60796655
WA
3336C0003X
Community/Retail Pharmacy
132192
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171441
PK
—
Enumeration date
09/13/2017
Last updated
03/08/2023
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