Organization
SWEDISH EDMONDS
Active
Organization
SWEDISH EDMONDS
Active
Other names
PAVILION HOMECARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
7320 216TH ST SW, STE 100B, EDMONDS, WA 98026-8006
(425) 673-3720
(425) 673-3727
Mailing address
7320 216TH ST SW, STE 100B, EDMONDS, WA 98026-8006
(425) 673-3720
(425) 673-3727
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
CF60182938
WA
Other
Enumeration date
06/13/2005
Last updated
05/08/2025
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