Organization
PUBLIC HOSPITAL DISTRICT NO 2 OF KING COUNTY
Active
Organization
PUBLIC HOSPITAL DISTRICT NO 2 OF KING COUNTY
Active
Other names
PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MOLITOR RPH (MGR)
(425) 899-2808
Entity
Organization
Contact information
Practice address
11800 NE 128TH ST, STE 150, KIRKLAND, WA 98034-7208
(425) 899-2808
(425) 899-2809
Mailing address
11800 NE 128TH ST, STE 150, KIRKLAND, WA 98034-7208
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF58450
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4931754
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6028971
—
WA
Enumeration date
02/24/2006
Last updated
01/29/2009
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