Individual
ICHIKO PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3101 WESTERN AVE, #100, SEATTLE, WA 98121-3017
(800) 523-3080
Mailing address
4515 148TH AVE NE, APT JJ-202, BELLEVUE, WA 98007-3059
(206) 265-0987
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 60471627
WA
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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