Healthcare Provider Details

I. General information

NPI: 1861895716
Provider Name (Legal Business Name): HARBORVIEW MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2014
Last Update Date: 02/25/2021
Certification Date: 02/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE BOX 359912
SEATTLE WA
98104-2499
US

IV. Provider business mailing address

325 9TH AVE BOX 359912
SEATTLE WA
98104-2499
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-4156
  • Fax: 206-744-6075
Mailing address:
  • Phone: 206-744-4156
  • Fax: 206-744-6075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberH-029
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberH-029
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberH-029
License Number StateWA

VIII. Authorized Official

Name: STEVE FIJALKA
Title or Position: CHIEF PHARMACY OFFICER
Credential:
Phone: 206-744-3377