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NPI Code Detail

MEDICARE: VIRGINIA MASON MEDICAL CENTER

MEDICARE: VIRGINIA MASON MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy262010304679WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14922806OTHERWANCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043214596
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA MASON MEDICAL CENTER
Provider Business Mailing Address
First Line : 100 NE GILMAN BLVD
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2925
Country : US
Telephone Number : 425-557-8003
Fax Number : 425-557-8021
Provider Business Practice Location Address
First Line : 100 NE GILMAN BLVD
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2925
Country : US
Telephone Number : 425-557-8003
Fax Number : 425-557-8021
Authorized Official
Title or Position : LEAD PHARMACIST
Name : MS. ROSE WONG
Credential : RPH. PHARM D
Telephone Number : 425-557-8003
Provider Enumeration Date : 06/10/2005
Last Update Date : 08/22/2020

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Practice Location Address:
100 NE GILMAN BLVD
ISSAQUAH, WA
98027-2925
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Practice Fax:

Directions to “VIRGINIA MASON MEDICAL CENTER ” Practice Location

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