Organization
BALLARD PLAZA PHARMACY I INC
Active
Other names
BALLARD PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA SMITH (PRESIDENT)
(206) 782-7200
Entity
Organization
Contact information
Practice address
1801 NW MARKET ST, 104, SEATTLE, WA 98107-3987
(206) 782-7200
(206) 782-3571
Mailing address
1801 NW MARKET ST, 104, SEATTLE, WA 98107-3987
(206) 782-7200
(206) 782-3571
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00058268
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4911308
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6029292
—
WA
Enumeration date
09/12/2006
Last updated
12/10/2010
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