Provider Demographics
NPI:1861895716
Name:HARBORVIEW MEDICAL CENTER
Entity type:Organization
Organization Name:HARBORVIEW MEDICAL CENTER
Other - Org Name:
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 1:325 9TH AVE
Mailing Address - Street 2:BOX 359912
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2499
Mailing Address - Country:US
Mailing Address - Phone:206-744-4156
Mailing Address - Fax:206-744-6075
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:BOX 359912
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2499
Practice Address - Country:US
Practice Address - Phone:206-744-4156
Practice Address - Fax:206-744-6075
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARBORVIEW MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-07
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAH-0293336C0003X, 3336I0012X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy