Organization
PHARMACA INTEGRATIVE PHARMACY, INC.
Active
Organization
PHARMACA INTEGRATIVE PHARMACY, INC.
Active
Other names
Medly Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (SVP PHARMACY SERVICES)
(717) 254-9011
Entity
Organization
Contact information
Practice address
1815 N. 45TH STREET, SUITE 110, SEATTLE, WA 98103
(206) 547-1208
(206) 547-8751
Mailing address
7088 WINCHESTER CIR STE 100, BOULDER, CO 80301-3760
(303) 442-2304
(303) 867-4181
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF59001
WA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6030837
—
WA
Enumeration date
06/27/2007
Last updated
04/01/2022
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