DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RXTRA CARE, INC.

MEDICARE: RXTRA CARE, INC.
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
13336L0003XLong Term Care PharmacyWA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14930625OTHERNCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043347933
Entity Type Code : Organization
Provider Name (Legal Business Name) : RXTRA CARE, INC.
Provider Business Mailing Address
First Line : 4831 35TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2709
Country : US
Telephone Number : 206-938-6196
Fax Number : 206-938-6197
Provider Business Practice Location Address
First Line : 4831 35TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2709
Country : US
Telephone Number : 206-938-6196
Fax Number : 206-938-6197
Authorized Official
Title or Position : PHARMACY MANAGER
Name : DR. MICHEAL J. HENRY
Credential : PD
Telephone Number : 206-938-6196
Provider Enumeration Date : 02/27/2007
Last Update Date : 03/07/2023

Similar Medicare Providers

1174661805 — MICHEAL HENRY PD
Practice Location Address:
4831 35TH AVE SW
SEATTLE, WA
98126-2709
Practice Phone: 206-938-6196
Practice Fax:
1952386369 — PROVIDENCE HEALTH & SERVICES WASHINGTON
Practice Location Address:
4831 35TH AVE SW
SEATTLE, WA
98126-2709
Practice Phone: 206-937-3700
Practice Fax: 206-938-8999
1366634503 — SISTERS OF PROVIDENCE IN WASHINGTON
Practice Location Address:
4831 35TH AVE SW
SEATTLE, WA
98126-2709
Practice Phone: 206-937-3700
Practice Fax: 206-938-8999
1457601932 — MS. HILLARY DANIELLE RICHARDSON OTR/L
Practice Location Address:
4831 35TH AVE SW
SEATTLE, WA
98126-2709
Practice Phone: 206-923-3940
Practice Fax:
1639601180 — DR. ELYCE ANNE OPHEIM MD
Practice Location Address:
4831 35TH AVE SW
SEATTLE, WA
98126-2709
Practice Phone: 206-923-3940
Practice Fax: 206-923-3904
1467972091 — CARLEY RISSMAN
Practice Location Address:
4831 35TH AVE SW
SEATTLE, WA
98126-2709
Practice Phone: 206-937-3700
Practice Fax:

Directions to “RXTRA CARE, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.