Organization
MEDICINE LADIES INC
Active
Other names
SAND POINT CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA DOCKTER RPH (PHARMACIST OWNER)
(206) 523-5700
Entity
Organization
Contact information
Practice address
4575 SAND POINT WAY NE, SEATTLE, WA 98105-3950
(206) 523-5700
(206) 523-0546
Mailing address
4575 SAND POINT WAY NE, SEATTLE, WA 98105-3950
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00004059
WA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4919087
OTHER ID NUMBER
—
05
—
6010045
—
WA
Enumeration date
11/24/2006
Last updated
09/13/2007
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