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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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