Organization
RXTRA CARE INC
Active
Other names
RXTRA CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLIS HENRY (PRESIDENT)
(206) 417-8066
Entity
Organization
Contact information
Practice address
7317 35TH AVE NE, SEATTLE, WA 98115-5918
(206) 417-8066
(206) 417-8076
Mailing address
7317 35TH AVE NE, SEATTLE, WA 98115-5918
(206) 417-8066
(206) 417-8076
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF.00057811
WA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108099
PK
—
05
—
6027155
—
WA
Enumeration date
06/09/2006
Last updated
11/12/2014
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