Individual
MS. CONNIE L SHAFER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2324 EASTLAKE AVE E, SUITE 405, SEATTLE, WA 98102-3345
(206) 448-6275
Mailing address
134 NE 63RD ST, SEATTLE, WA 98115-6537
(206) 524-4365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010295
WA
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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