50D2055531 CLIA NUMBER - BARTELL DRUGS - MILL CREEK #69

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Laboratory Demographics

CLIA Number: 50D2055531

Facility Name: BARTELL DRUGS - MILL CREEK #69

Facility Address:
18001 BOTHELL-EVERETT HWY STE 101
BOTHELL, WA
ZIP 98012
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Facility Phone Number: 425 402-6485

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1558504019

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	50D2055531
LAB Type	Pharmacy
Facility Name	BARTELL DRUGS - MILL CREEK #69
Street	18001 BOTHELL-EVERETT HWY STE 101
City	BOTHELL
State	WA
ZIP	98012
Phone	425 402-6485
CertificateType	4
CertificateEffectiveDate	3/13/2013
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024