Provider Demographics
NPI:1770982506
Name:UNIVERSITY OF WASHINGTON
Entity type:Organization
Organization Name:UNIVERSITY OF WASHINGTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FIJALKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-744-3377
Mailing Address - Street 1:4333 BROOKLYN AVE NE
Mailing Address - Street 2:BOX 359415
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-1016
Mailing Address - Country:US
Mailing Address - Phone:206-598-4411
Mailing Address - Fax:206-598-7817
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-4411
Practice Address - Fax:206-598-7817
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF WASHINGTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-18
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHF00001694333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy