Organization
APOTHECO PHARMACY BELLEVUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANUSH AMIN (PRESIDENT)
(973) 241-3048
Entity
Organization
Contact information
Practice address
339 KIRKLAND AVENUE, SUITE G, KIRKLAND, WA 98033
(425) 364-9227
(425) 300-5655
Mailing address
788 MORRIS TURNPIKE, SUITE 300, SHORT HILLS, NJ 07078
(973) 869-2820
(973) 869-2822
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604749321
CERTIFICATE OF FORMATION
WA
Enumeration date
07/26/2021
Last updated
08/12/2024
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