Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
Other names
ICHS Holly Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HERMES SHAHBAZIAN (CFO)
(206) 788-3618
Entity
Organization
Contact information
Practice address
3815 S OTHELLO ST FL 2, SEATTLE, WA 98118-3510
(206) 788-3563
(206) 788-2369
Mailing address
3815 S OTHELLO ST FL 2, SEATTLE, WA 98118-3510
(206) 788-3563
(206) 788-2369
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00058776
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6029540
—
WA
Enumeration date
03/14/2007
Last updated
01/26/2021
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