Individual
DR. LARA CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
THE POLYCLINIC, 1145 BROADWAY, SEATTLE, WA 98122
(206) 669-7132
Mailing address
360 HAYES ST, SEATTLE, WA 98109-2816
(206) 669-7132
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH00060834
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00060834
PHARMACIST LICENSE NUMBER
WA
Enumeration date
02/06/2008
Last updated
03/22/2019
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