Organization
ASSURED PHARMACIES NORTHWEST, LLC
Active
Other names
Cordant Pharmacy #3
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY ECKMANN (CHIEF OF STAFF)
(025) 314-0146
Entity
Organization
Contact information
Practice address
1417 116TH AVE NE, STE 204, BELLEVUE, WA 98004-3821
(425) 820-1030
(425) 820-2247
Mailing address
12015 E 46TH AVE, STE. 650, DENVER, CO 80239-3116
(303) 749-0490
(720) 536-4826
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60678575
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108293
PK
—
05
—
6027577
—
WA
Enumeration date
09/14/2006
Last updated
12/21/2020
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