Healthcare Provider Details

I. General information

NPI: 1609093533
Provider Name (Legal Business Name): HEALTHPOINT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 E MEEKER ST STE 300
KENT WA
98030-5904
US

IV. Provider business mailing address

955 POWELL AVE SW
RENTON WA
98057-2908
US

V. Phone/Fax

Practice location:
  • Phone: 877-233-0246
  • Fax: 253-372-3663
Mailing address:
  • Phone: 253-372-3661
  • Fax: 253-372-3663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHARCF00059025
License Number StateWA

VIII. Authorized Official

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