Healthcare Provider Details

I. General information

NPI: 1619955598
Provider Name (Legal Business Name): BARTELL DRUGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 13TH ST
SNOHOMISH WA
98290-2012
US

IV. Provider business mailing address

3229 180TH ST NE
ARLINGTON WA
98223-8705
US

V. Phone/Fax

Practice location:
  • Phone: 360-568-0548
  • Fax:
Mailing address:
  • Phone: 360-243-8360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberVA00020747
License Number StateWA

VIII. Authorized Official

Name: SCOTT WHITE
Title or Position: HEAD PHARMACIST
Credential: RPH
Phone: 360-568-0548