Individual
JENNINE KOTNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3020 NE 45TH ST, SEATTLE, WA 98105-5002
(206) 524-9931
Mailing address
3020 NE 45TH ST, SEATTLE, WA 98105-5002
(206) 524-9931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61077920
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61077920
RPH LICENSE
WA
Enumeration date
09/21/2020
Last updated
03/15/2021
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