Organization
GUARDIAN PHARMACY OF WASHINGTON, LLC
Active
Other names
MERCURY PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BOULANGER (PRESIDENT)
(425) 673-5200
Entity
Organization
Contact information
Practice address
22316 70TH AVE W STE E, MOUNTLAKE TERRACE, WA 98043-2184
(425) 673-5200
(425) 673-5230
Mailing address
22316 70TH AVE W STE E, MOUNTLAKE TERRACE, WA 98043-2184
(425) 673-5200
(425) 673-5230
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
01/30/2026
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