Jack J Cordova
Community/Retail Pharmacy
6111 13th Ave S, Seattle
Washington, 98108-2705
206-763-0288 206-768-1296
Jack J Cordova is a Community/Retail Pharmacy in Seattle, Washington. It is located at 6111 13th Ave S, Seattle and it's customer support contact number is 206-763-0288. The authorized person of Jack J Cordova is Jack Cordova who is Owner of the pharmacy and his contact number is 206-763-0288. Active license number of Jack J Cordova is CF00000300 for Community/Retail Pharmacy in Washington.
Jack J Cordova is 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.
Pharmacy Details:
Jack J Cordova type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jack J Cordova |
| Type: | Community/Retail Pharmacy |
| Location: | 6111 13th Ave S, Seattle,
Washington, 98108-2705 |
| Phone: | 206-763-0288 |
| Fax: | 206-768-1296 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jack Cordova |
| Position: | Owner |
| Contact Number: | 206-763-0288 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1932240892 |
| NPI Enumeration Date: | 12 Feb, 2007 |
| NPI Last Update On: | 09 Mar, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack J Cordova are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | CF00000300 | Washington | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4906775 | Other | | Ncpdp Provider Identification Number |
| 6030407 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6111 13th Ave S,
Seattle, Washington |
| Zip: | 98108-2705 |
| Phone Number: | -- |
Patients can reach Jack J Cordova at
6111 13th Ave S, Seattle, Washington or can
call on customer care at 206-763-0288.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.