Organization
OTTERSENS PHARMECEUTICAL SERVICES
Active
Organization
OTTERSENS PHARMECEUTICAL SERVICES
Active
Other names
OTTERSENS PHARMACEUTICAL SVCS
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA KOUSOUM PHARMD (PHARMACIST MANAGER)
(206) 365-4048
Entity
Organization
Contact information
Practice address
13023 GREENWOOD AVE N, SEATTLE, WA 98133-7308
(206) 365-4048
(206) 365-4096
Mailing address
PO BOX 33026, SEATTLE, WA 98133-0026
(206) 365-4048
(206) 365-4096
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHAR.CF.00002361
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107358
PK
—
05
—
6007348
—
WA
Enumeration date
05/28/2006
Last updated
07/19/2018
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