NPI 1093123184

Ppgnw - Id Pharmacy

Organisation Non-Pharmacy Dispensing Site Seattle, WA

Practice location

Address: 2001 E Madison St, Seattle, WA 98122-2959
Phone: (206) 328-7734

Authorised official

Name: Mary Wendt
Title: Revenue Cycle Director
Phone: (206) 628-3826

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 19941PDO (ID)

Other Non-Pharmacy Dispensing Site providers in Washington →

Registry record

NPI: 1093123184
Entity type: Organization
NPI issued: 1 Aug 2014
Record last updated: 1 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.