Organization
MADISON PARK PHARMACY AND WELLNESS CENTER LLC
Active
Other names
Madison Park Pharmacy and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S HARRELL PHARMD (PRESIDENT)
(360) 859-8659
Entity
Organization
Contact information
Practice address
4130 E MADISON ST, SEATTLE, WA 98112-3231
(206) 347-4644
(206) 480-1739
Mailing address
PO BOX B, ILWACO, WA 98624-0167
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2247212
—
WA
Enumeration date
03/06/2023
Last updated
12/20/2025
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