Organization
THE BARTELL DRUG CO
Active
Other names
BARTELL DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KOO (SR VP OF PHARMACY)
(206) 763-2626
Entity
Organization
Contact information
Practice address
11020 19TH AVE SE, EVERETT, WA 98208-5155
(425) 337-7197
(425) 337-9287
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
CF00002428
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333520002
—
WA
01
—
2108249
PK
—
05
—
6025605
—
WA
Enumeration date
08/31/2006
Last updated
12/12/2016
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