Provider Demographics
NPI:1093339657
Name:SAND POINT PHARMACY & HEALTH
Entity Type:Organization
Organization Name:SAND POINT PHARMACY & HEALTH
Other - Org Name:BEVVAX SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-524-2211
Mailing Address - Street 1:5400 SAND POINT WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2941
Mailing Address - Country:US
Mailing Address - Phone:206-524-2211
Mailing Address - Fax:206-524-4179
Practice Address - Street 1:5400 SAND POINT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-2941
Practice Address - Country:US
Practice Address - Phone:206-524-2211
Practice Address - Fax:206-524-4179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-29
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty