| Organization Name: | SWEDISH EDMONDS |
| NPI Number: | 1033113584 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID W GREEN (RESPONSIBLE MANAGER PHARMACIST) |
| Mailing Address: | 7320 216th St Sw Ste 100 Edmonds |
| State: | WA US |
| Postal Code: | 980268006 |
| Phone Number: | 4256733700 |
| Fax Number: | 4256733717 |
| NPI Enumeration Date: | 06/10/2005 |
| NPI Last Update Date: | 01/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | CF60182944 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |