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MADRONA HEALTH, LLC

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Company Details

Legal Name: MADRONA HEALTH, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: March 7th 2023
Expiration date: 31 Mar 2026
UBI Number: 604 663 221
ZIP code: 98108
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5959 CORSON AVE S., STE C1, SEATTLE, WA, 98108, UNITED STATES

Contact Details

E-Mail: KERRY.EDMOND@COMMONSPIRIT.ORG
Phone Number: +1 206-341-3300

Nature of Business

PHARMACY PRESCRIPTION DISTRIBUTION SERVICES

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
ERIC WYMORE Governing Person
DAVID NOSACKA Governing Person
GLENN ADAMS Governing Person
THOMAS LEGEL Governing Person
DIANN AROH Governing Person

National Provider Identifier

NPI Number:
1306365184
Certification Date:
2023-03-08

Authorized Person:

Name:
HUNG VAN TRUONG
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2063413329

History

Type Old value New value Date of change
Name change CASCARA HEALTH, LLC MADRONA HEALTH, LLC 2022-08-04
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