PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1720121346

NPI Information

  • NPI: 1720121346
  • Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • :
  • Address: 3333 S 120TH PL STE 100B
    TUKWILA, WA
    ZIP 98168
  • Phone: (425) 687-4400

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NPI Details

PROVIDENCE HEALTH & SERVICES WASHINGTON is a long term care pharmacy pharmacy in Tukwila, WA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1720121346. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

3333 S 120TH PL STE 100B
TUKWILA, WA
ZIP 98168-134
Phone: (425) 687-4400
Fax: (425) 687-4401

The provider's authorized official is Donald W Anderson .
The authorized official title is Assistant Secretary Of Enrollments and has the following contact phone number (425) 358-9786.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 5/16/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208U00000XClinical PharmacologyNo
2333600000XPharmacyNo
33336C0002XPharmacyClinic PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyNo
53336C0004XPharmacyCompounding PharmacyNo
63336H0001XPharmacyHome Infusion Therapy PharmacyNo
73336L0003XPharmacyLong Term Care PharmacyNo
83336M0003XPharmacyManaged Care Organization PharmacyNo
93336S0011XPharmacySpecialty PharmacyNo
103336L0003XPharmacyLong Term Care PharmacyCF00056548WASHINGTONYes

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: 3/30/2025

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