Individual
AMY MITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1121 124TH AVE NE, BELLEVUE, WA 98005-2101
(425) 201-6296
Mailing address
1121 124TH AVE NE, BELLEVUE, WA 98005-2101
(425) 201-6296
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00069469
WA
Other
Enumeration date
11/12/2010
Last updated
08/03/2016
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