| |
400 E Pine St Ste 100b Seattle WA 98122-2360 | |
(206) 641-7766 | |
(206) 641-7767 |
Full Name | |
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Speciality | Pharmacy - Community/retail Pharmacy |
Location | 400 E Pine St Ste 100b, Seattle, Washington |
Authorized Official Name and Position | Brian E. Beach (VICE-PRESIDENT) |
Authorized Official Contact | 2068384544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2324 Eastlake Ave E Ste 400 Seattle WA 98102-6539 Ph: () - | 400 E Pine St Ste 100b Seattle WA 98122-2360 Ph: (206) 641-7766 |
NPI Number | 1538817143 |
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Provider Enumeration Date | 03/13/2022 |
Last Update Date | 02/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538817143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
3336C0003X | Pharmacy - Community/retail Pharmacy | (* (Not Available)) | Primary |
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