Healthcare Provider Details

I. General information

NPI: 1659387942
Provider Name (Legal Business Name): HEALTHPOINT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 03/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 AUBURN AVE STE 104
AUBURN WA
98002-5057
US

IV. Provider business mailing address

955 POWELL AVE SW PHARMACY DEPT.
RENTON WA
98057-2908
US

V. Phone/Fax

Practice location:
  • Phone: 877-233-0246
  • Fax: 253-804-3593
Mailing address:
  • Phone: 425-203-0455
  • Fax: 425-277-1566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0003X
TaxonomyManaged Care Organization Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHARCF00058552
License Number StateWA

VIII. Authorized Official

Name: DEBRA WILKINSON
Title or Position: COO
Credential:
Phone: 425-203-0444