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Jack J Cordova
Community/Retail Pharmacy in Seattle, Washington
NPI 1932240892

Jack J Cordova is a Community/Retail Pharmacy based in Seattle, WA and is specialized in Community/Retail Pharmacy. Jack J Cordova practices in Seattle, WA. The NPI Number for Jack J Cordova is 1932240892 and holds a License No. (Washington).

The current practice location address for Jack J Cordova is 6111 13Th Ave S, Seattle, WA and can be reached out via phone at 206-763-0288 and via fax at 206-768-1296.

Location: 6111 13Th Ave S, Seattle, WA, 98108-2705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932240892
Provider Name
Jack J Cordova
Credential
Provider Entity Type
Organization
Address
6111 13Th Ave S, Seattle, WA, 98108-2705
Phone Number
206-763-0288
Fax Number
206-768-1296
Provider Enumeration Date
02/12/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
4906775 01 NCPDP PROVIDER IDENTIFICATION NUMBER
6030407 05 WA
institution
Provider Business Practice Location Address Details
Address
6111 13Th Ave S
City
Seattle
State
Washington
Zip
98108-2705
Phone Number
206-763-0288
Fax Number
206-768-1296
person
Provider Business Mailing Address Details
Address
6111 13Th Ave S
City
Seattle
State
Washington
Zip
98108-2705
Phone Number
206-763-0288
Fax Number
206-768-1296
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
CF00000300 (Washington)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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