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General NPI Number Information
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NPI Number | 1528176120
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Entity Type | Organization
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Legal Business Name | THE BARTELL DRUG CO
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 12/12/2016
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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 | 4025 DELRIDGE WAY SW STE 400
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City | SEATTLE
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State | WA
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Zip | 98106-1249
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Country | US
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Telephone | 206-767-1316
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Fax | 206-767-1397
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Authorized Official
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Title or Position | SR VP OF PHARMACY
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Name | PETER KOO
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Credential |
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Telephone | 206-763-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | CF00056369
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License Number State | WA
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