Healthcare Provider Details

I. General information

NPI: 1720301203
Provider Name (Legal Business Name): MAXOR NATIONAL PHARMACY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 02/08/2026
Certification Date: 02/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 214TH ST SE STE 300
BOTHELL WA
98021-4418
US

IV. Provider business mailing address

416 S TYLER ST
AMARILLO TX
79101-2346
US

V. Phone/Fax

Practice location:
  • Phone: 425-412-6335
  • Fax: 206-531-2394
Mailing address:
  • Phone: 806-242-7782
  • Fax: 206-531-2394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberPHAR.CF.60657129
License Number StateWA

VIII. Authorized Official

Name: JOEL WRIGHT
Title or Position: PRESIDENT, PHARMACY SERVICES
Credential:
Phone: 806-242-7882