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MADRONA HEALTH LLC NPI 1306365184


NPI Information

NPI: 1306365184
Provider Name: MADRONA HEALTH, LLC

Doing Business As: MADRONA PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
5959 CORSON AVE S STE C-1
SEATTLE, WA
ZIP 98108
Phone: (206) 341-3300
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MADRONA HEALTH, LLC is a pharmacy in Seattle, WA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MADRONA HEALTH, LLC NPI is 1306365184. The provider is registered as an organization entity type.
The provider Is Doing Business As Madrona Pharmacy.

The provider's business location address is:

5959 CORSON AVE S STE C-1
SEATTLE, WA
ZIP 98108-605
Phone: (206) 341-3300
Fax: (206) 341-3329

The provider's authorized official is Hung Van Truong .
The authorized official title is Executive Director and has the following contact phone number (206) 341-3300.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 3/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy132192ALASKANo
2333600000XPharmacyCF60796655WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12171441OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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