Provider Demographics
NPI:1306371935
Name:SEATTLE DRUGS LLC
Entity type:Organization
Organization Name:SEATTLE DRUGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:KHALED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELRAZZAK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:425-392-8650
Mailing Address - Street 1:450 NW GILMAN BLVD
Mailing Address - Street 2:STE 107
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-2483
Mailing Address - Country:US
Mailing Address - Phone:425-392-8650
Mailing Address - Fax:425-391-8624
Practice Address - Street 1:450 NW GILMAN BLVD
Practice Address - Street 2:STE 107
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2483
Practice Address - Country:US
Practice Address - Phone:425-392-8650
Practice Address - Fax:425-391-8624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
WA607532523336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy