Organization
UNIVERSITY OF WASHINGTON
Active
Other names
UWMC Surgery Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP DOHERTY (PHARMACY REVENUE CYCLE MANAGER)
(206) 598-6059
Entity
Organization
Contact information
Practice address
1959 NE PACIFIC ST, MAILSTOP 356015, SEATTLE, WA 98195-0001
(206) 598-9949
Mailing address
1959 NE PACIFIC ST BOX 356015, SEATTLE, WA 98195-0001
(206) 598-9949
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042530
—
WA
01
—
2155577
PK
—
Enumeration date
12/01/2015
Last updated
12/01/2015
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