Individual
ANGEL PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
720 7TH AVE, #100, SEATTLE, WA 98104
(206) 838-6070
(206) 838-9775
Mailing address
1700 SW 107TH ST APT 202, SEATTLE, WA 98146-2070
(206) 330-7207
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
59638
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59683
TECHNICIAN LICENSE
WA
Enumeration date
05/21/2007
Last updated
07/08/2007
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