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Provider Information for 1366638488


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RXGUY PS

Other Names:  
Doing Business As: 
SEATTLE MEDS

Organization Subpart: NO

NPI: 1366638488
Last Updated: 2017-02-28
Certification Date:

Details

NameValue
NPI1366638488
Enumeration Date2007-09-21
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: DARREN AUGENSTEIN PHARM D
Title: President
Phone: 2063822087
Mailing Address 1305 MADISON ST
SEATTLE, WA 98104-3507
United States

Phone: 206-382-2087 | Fax:206-382-4342
 
Primary Practice Address 1305 MADISON ST
SEATTLE, WA 98104-3507
United States

Phone: 206-382-2087 | Fax:206-382-4342
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2109147PK
MEDICAIDWA6030993
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 333600000X - Pharmacy
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyWAPHAR.CF.60182317