Organization
WSM BELVEDERE INC
Active
Other names
MAPLE LEAF PHARMACY UNITED DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
BILL MCNARY (MGR)
(206) 729-7514
Entity
Organization
Contact information
Practice address
8830 ROOSEVELT WAY NE, SEATTLE, WA 98115-3042
(206) 729-7514
(206) 729-7513
Mailing address
8830 ROOSEVELT WAY NE, SEATTLE, WA 98115-3042
(206) 729-7514
(206) 729-7513
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262010303374
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4918984
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6005441
—
WA
Enumeration date
08/10/2006
Last updated
04/02/2012
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