Individual
DR. PEGGY S ODEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS, CDE
Contact information
Practice address
1959 NE PACIFIC ST # 357630, SEATTLE, WA 98195-0001
(206) 543-0760
(206) 543-3835
Mailing address
9415 NE 14TH ST, CLYDE HILL, WA 98004-3438
(415) 451-1827
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
13784
WA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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