Healthcare Provider Details

I. General information

NPI: 1396418315
Provider Name (Legal Business Name): APOTHECO PHARMACY BELLEVUE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2622 BELLEVUE WAY NE SUITE G
BELLEVUE WA
98004
US

IV. Provider business mailing address

788 MORRIS TURNPIKE SUITE 300
SHORT HILLS NJ
07078
US

V. Phone/Fax

Practice location:
  • Phone: 425-818-0015
  • Fax: 425-818-0015
Mailing address:
  • Phone: 973-869-2820
  • Fax: 973-869-2822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. ANUSH AMIN
Title or Position: PRESIDENT
Credential:
Phone: 973-241-3048