Healthcare Provider Details

I. General information

NPI: 1518517101
Provider Name (Legal Business Name): THE BARTELL DRUG CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2506 2ND AVE
SEATTLE WA
98121-1427
US

IV. Provider business mailing address

4025 DELRIDGE WAY SW STE 400
SEATTLE WA
98106-1273
US

V. Phone/Fax

Practice location:
  • Phone: 206-363-0565
  • Fax:
Mailing address:
  • Phone: 206-763-2626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: BILLY CHOW
Title or Position: VP OF PHARMACY
Credential:
Phone: 206-767-1394