OrganizationActive
Guardian Pharmacy of Washington, LLC
NPI 1790653798 · Long Term Care Pharmacy · Mountlake Terrace, WA
Provider details
- NPI number
- 1790653798
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Stephen Boulanger, President(425) 673-5200
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
22316 70th Ave W Ste E
Mountlake Terrace, WA 98043-2184
Phone: (425) 673-5200
Fax: (425) 673-5230
Approximate (ZIP-level) locationGet directions
Mailing address
22316 70th Ave W Ste E
Mountlake Terrace, WA 98043-2184
Other names (DBA / former)
- Doing business as
- Mercury Pharmacy Services
Registry dates
- Enumerated
- 2025-10-29
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.