Healthcare Provider Details

I. General information

NPI: 1962874933
Provider Name (Legal Business Name): NEIGHBORCARE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2015
Last Update Date: 10/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10501 MERIDIAN AVE N SUITE A
SEATTLE WA
98133-9509
US

IV. Provider business mailing address

PO BOX 3835
SEATTLE WA
98124-3835
US

V. Phone/Fax

Practice location:
  • Phone: 206-296-4990
  • Fax:
Mailing address:
  • Phone: 206-548-3102
  • Fax: 206-762-6355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JANINE CHILDS
Title or Position: CFO
Credential:
Phone: 206-548-3034