Provider Demographics
NPI:1669577755
Name:DS PHARMACY INC
Entity type:Organization
Organization Name:DS PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY ACCOUNT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WOJTACHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-372-3717
Mailing Address - Street 1:411 108TH AVE NE
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-8404
Mailing Address - Country:US
Mailing Address - Phone:800-378-4786
Mailing Address - Fax:425-372-3817
Practice Address - Street 1:411 108TH AVE NE
Practice Address - Street 2:SUITE 1400
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-8404
Practice Address - Country:US
Practice Address - Phone:800-378-4786
Practice Address - Fax:425-372-3817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACF00056247251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare