| |
720 8th Ave S Seattle WA 98114-3007 | |
(206) 788-3770 | |
(206) 788-3705 |
Full Name | |
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Speciality | Pharmacy |
Location | 720 8th Ave S, Seattle, Washington |
Authorized Official Name and Position | Hermes Shahbazian (CFO) |
Authorized Official Contact | 2067883618 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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P.o. Box 3007 Seattle WA 98114-3007 Ph: (206) 788-3770 | 720 8th Ave S Seattle WA 98114-3007 Ph: (206) 788-3770 |
NPI Number | 1942333422 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 03/29/2021 |
Medicare PECOS PAC ID | 5799695672 |
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Medicare Enrollment ID | O20210129000988 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942333422 | NPI | - | NPPES |
6019293 | Medicaid | WA |
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