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Organization

PUBLIC HOSPITAL DISTRICT NO 2 OF KING COUNTY

Active
Other names
EVERGREEN PROFESSIONAL CENTER PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD BRIGGS RPH (DIRECTOR)
(425) 899-2794
Entity
Organization

Contact information

Practice address
12303 NE 130TH LN, STE 210, KIRKLAND, WA 98034-3099
(425) 899-2790
(425) 899-2795
Mailing address
12303 NE 130TH LN, STE 210, KIRKLAND, WA 98034-3099
(425) 899-2790
(425) 899-2795

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF00004833
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2109598
PK
05
6013734
WA
Enumeration date
11/29/2006
Last updated
12/20/2016
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