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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