Providence Health & Services - Washington
Home Infusion Therapy Pharmacy
3333 S 120th Pl, Suite 10, Tukwila
Washington, 98168-5134
425-687-4400 425-687-4401
Providence Health & Services - Washington is a Home Infusion Therapy Pharmacy in Tukwila, Washington. It is located at 3333 S 120th Pl, Suite 10, Tukwila and it's customer support contact number is 425-687-4400. The authorized person of Providence Health & Services - Washington is Donald W Anderson Jr. who is Assistant Secretary Of Enrollments of the pharmacy and his contact number is 425-358-9786. Active license number of Providence Health & Services - Washington is PHAR.CF.60389608 for Home Infusion Therapy Pharmacy in Washington. Providence Health & Services - Washington accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Providence Health & Services - Washington is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Pharmacy Details:
Providence Health & Services - Washington 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: | Providence Health & Services - Washington |
| Type: | Home Infusion Therapy Pharmacy |
| Location: | 3333 S 120th Pl, Suite 10, Tukwila,
Washington, 98168-5134 |
| Phone: | 425-687-4400 |
| Fax: | 425-687-4401 |
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: | Donald W Anderson Jr. |
| Position: | Assistant Secretary Of Enrollments |
| Contact Number: | 425-358-9786 |
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: | 1285687749 |
| NPI Enumeration Date: | 18 May, 2006 |
| NPI Last Update On: | 16 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services - Washington are as mentioned below.
| Specialization | License Number | State | Status | |
| Home Infusion Therapy Pharmacy | PHAR.CF.60389608 | Washington | Primary | |
| Pharmacy | | | Secondary | |
| Clinical Pharmacology | | | Secondary | |
| Home Infusion | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | 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 |
| 1006822 | Medicaid | Washington | |
Medicare Enrollment:
Providence Health & Services - Washington is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1951429752 | O20100930064760 | Providence Health & Services - Washington | DME SUPPLIER - PHARMACY |
Products Available:
Providence Health & Services - Washington has following products available for sale under medicare.
| Products: |
|---|
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Infusion Pumps & Supplies: External Infusion | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3333 S 120th Pl, Suite 100
Tukwila, Washington |
| Zip: | 98168-5134 |
| Phone Number: | 425-687-4400 |
| Fax Number: | 425-687-4401 |
Patients can reach Providence Health & Services - Washington at
3333 S 120th Pl, Suite 10, Tukwila, Washington or can
call on customer care at 425-687-4400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.