Providence Health & Services Washington
Long Term Care Pharmacy
3333 S 120th Pl Ste 100b, Tukwila
Washington, 98168-5134
425-687-4400 425-687-4401
Providence Health & Services Washington is a Long Term Care Pharmacy in Tukwila, Washington. It is located at 3333 S 120th Pl Ste 100b, 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 CF00056548 for Long Term Care Pharmacy in Washington.
Providence Health & Services Washington is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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: | Long Term Care Pharmacy |
| Location: | 3333 S 120th Pl Ste 100b, 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: | 1720121346 |
| NPI Enumeration Date: | 14 Feb, 2007 |
| 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 | |
| Long Term Care Pharmacy | CF00056548 | Washington | Primary | |
| Clinical Pharmacology | | | Secondary | |
| Pharmacy | | | Secondary | |
| Clinic Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Home Infusion Therapy Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
| Managed Care Organization Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 24292,
Seattle, Washington |
| Zip: | 98124-0292 |
| Phone Number: | 425-687-4400 |
| Fax Number: | 425-687-4401 |
Patients can reach Providence Health & Services Washington at
3333 S 120th Pl Ste 100b, 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.