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General NPI Number Information
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NPI Number | 1013990795
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Entity Type | Organization
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Legal Business Name | BARTELL DRUGS
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Dates
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Enumeration Date | 11/27/2005
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 1825 BROADWAY
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City | EVERETT
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State | WA
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Zip | 98201-2348
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Country | US
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Telephone | 425-303-2584
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Fax | 425-258-6252
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Provider Business Mailing Address
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Address Line | 2119 WALNUT ST
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City | EVERETT
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State | WA
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Zip | 98201-2610
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Country | US
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Telephone | 425-303-4260
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER/ PHARMASIST
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Name | MR. RICHARD ROPERT
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Credential |
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Telephone | 425-303-2584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | VA00045095
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License Number State | WA
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