Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
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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