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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