Individual
EHSAN ALQTAITAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC ST, INPATIENT PHARMACY, SEATTLE, WA 98195-0001
(206) 598-6060
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-6060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302036236
MI
183500000X
Pharmacist
Primary
PH60100648
WA
Other
Enumeration date
06/02/2010
Last updated
02/01/2011
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