Organization
THE BARTELL DRUG CO
Active
Other names
Bartell Drugs #75
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KOO (SR VP OF PHARMACY)
(206) 767-1316
Entity
Organization
Contact information
Practice address
35013 SE SNOQUALMIE PKWY, SNOQUALMIE, WA 98065-9709
(425) 363-6045
(425) 831-0098
Mailing address
4025 DELRIDGE WAY SW, SUITE #400, SEATTLE, WA 98106
(206) 763-2626
(206) 767-1397
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF60737754
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169660
PK
—
Enumeration date
06/21/2017
Last updated
06/21/2017
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