Organization
MEDICAL CENTER PHARMACY ASSOCIATES, INC.
Active
Other names
Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN LAI (PRESIDENT)
(206) 979-9015
Entity
Organization
Contact information
Practice address
450 NW GILMAN BLVD STE 107, ISSAQUAH, WA 98027-2483
(425) 392-8650
Mailing address
81 CLAY ST APT 721, SEATTLE, WA 98121-4123
(206) 979-9015
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHAR.CF.60812480
WA
3336C0004X
Compounding Pharmacy
Primary
PHAR.CF.60812480
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHAR.CF.60812480
PHARMACY LICENSE NUMBER
WA
Enumeration date
02/02/2018
Last updated
03/30/2018
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