Ppgnw - Id Pharmacy
NPI #1093123184 in Seattle, Washington
Provider Information
- NPI Number
- 1093123184
- Entity Type
- Organization
- Organization Name
- Ppgnw - Id Pharmacy
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Aug 1, 2014
- Last Updated
- Aug 1, 2014
Practice Location
- Address
- 2001 E MADISON ST
- City
- Seattle
- State
- Washington
- ZIP Code
- 98122-2959
- Phone
- (206) 328-7734
Authorized Official
- Name
- MARY WENDT
- Title
- REVENUE CYCLE DIRECTOR
- Phone
- (206) 628-3826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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