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WESTERN WASHINGTON MEDICAL GROUP NPI 1851710495


NPI Information

NPI: 1851710495
Provider Name: WESTERN WASHINGTON MEDICAL GROUP
Classification: Pharmacist - 1835P0018X
Entity Type: Organization

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
12728 19TH AVE SE
SUITE 200
EVERETT, WA
ZIP 98208
Phone: (425) 225-2760
Get Directions

WESTERN WASHINGTON MEDICAL GROUP is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Everett, WA. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. WESTERN WASHINGTON MEDICAL GROUP NPI is 1851710495. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12728 19TH AVE SE
SUITE 200
EVERETT, WA
ZIP 98208-526
Phone: (425) 225-2760
Fax: (425) 252-1118

The provider's authorized official is Stephanie E Abbott .
The authorized official title is Research Director and has the following contact phone number (425) 225-2760.

The enumeration date for this NPI number is 4/10/2014 and was last updated on 4/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH00020716WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PH00020716OTHERWASHINGTONPHARMACIST LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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