Healthcare Provider Details

I. General information

NPI: 1689600223
Provider Name (Legal Business Name): BARTELL DRUGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 DENVER AVE S
SEATTLE WA
98134-2316
US

IV. Provider business mailing address

9615 18TH AVE SW
SEATTLE WA
98106-2719
US

V. Phone/Fax

Practice location:
  • Phone: 206-763-2626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberVA00043503
License Number StateWA

VIII. Authorized Official

Name: KATE BRYSON
Title or Position: PHARMACY TECHNICIAN
Credential:
Phone: 206-604-8054