Healthcare Provider Details

I. General information

NPI: 1356423958
Provider Name (Legal Business Name): THE BARTELL DRUG CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 S MILDRED ST
TACOMA WA
98465-1608
US

IV. Provider business mailing address

200 NEWBERRY CMNS STE 400
ETTERS PA
17319-9363
US

V. Phone/Fax

Practice location:
  • Phone: 253-460-1879
  • Fax: 253-564-1412
Mailing address:
  • Phone: 717-761-2633
  • Fax: 717-975-8659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberCF00057212
License Number StateWA

VIII. Authorized Official

Name: JENNIFER ZOREK
Title or Position: DIRECTOR
Credential:
Phone: 717-975-5937