Organization
THE BARTELL DRUG CO
Active
Other names
BARTELL DRUGS #11
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KOO (SR VP OF PHARMACY)
(206) 763-2626
Entity
Organization
Contact information
Practice address
4344 UNIVERSITY WAY NE, SEATTLE, WA 98105-5809
(206) 632-3514
(206) 632-7362
Mailing address
4025 DELRIDGE WAY SW, STE 400, SEATTLE, WA 98106-1249
(206) 767-1316
(206) 767-1397
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00000055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333520016
—
WA
01
—
2107018
PK
—
05
—
6033708
—
WA
Enumeration date
08/30/2006
Last updated
12/12/2016
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