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Organization

THE BARTELL DRUG CO

Active
Other names
BARTELL DRUGS #64
Organization subpart
No

Provider details

NPI number
Authorized official
PETER KOO (SR VP OF PHARMACY)
(206) 763-2626
Entity
Organization

Contact information

Practice address
7205 267TH ST NW, STANWOOD, WA 98292-6237
(360) 939-0572
(360) 939-0590
Mailing address
4025 DELRIDGE WAY SW, STE 400, SEATTLE, WA 98106-1249
(206) 767-1316
(206) 767-1397

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
CF00058348
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2108595
PK
05
6028740
WA
Enumeration date
08/30/2006
Last updated
12/12/2016
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