| Id Pharmacy | |
|
720 8th Ave S Seattle WA 98114-3007 | |
| (206) 788-3770 | |
| (206) 788-3705 |
| Full Name | Id Pharmacy |
|---|---|
| Speciality | Pharmacy |
| Location | 720 8th Ave S, Seattle, Washington |
| Authorized Official Name and Position | Hermes Shahbazian (CFO) |
| Authorized Official Contact | 2067883618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Pharmacy P.o. Box 3007 Seattle WA 98114-3007 Ph: (206) 788-3770 | Id Pharmacy 720 8th Ave S Seattle WA 98114-3007 Ph: (206) 788-3770 |
| NPI Number | 1942333422 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Medicare PECOS PAC ID | 5799695672 |
|---|---|
| Medicare Enrollment ID | O20210129000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942333422 | NPI | - | NPPES |
| 6019293 | Medicaid | WA |
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