Organization
HARBORVIEW MEDICAL CENTER
Active
Parent organization
HARBORVIEW MEDICAL CENTER
Other names
Madison Clinic Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARBORVIEW MEDICAL CENTER
Authorized official
STEVE FIJALKA (CHIEF PHARMACY OFFICER)
(206) 744-3377
Entity
Organization
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-5151
Mailing address
1959 NE PACIFIC ST # 356015, SEATTLE, WA 98195-0001
(206) 598-6059
(206) 598-6075
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2168476
—
WA
01
—
4939495
NCPDP
WA
Enumeration date
12/16/2019
Last updated
03/24/2021
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