Individual
HORIEH POURMANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5217 CALIFORNIA AVE SW, SEATTLE, WA 98136-1209
(206) 937-2191
(206) 937-2936
Mailing address
15515 JUANITA WOODINVILLE WAY NE APT C101, BOTHELL, WA 98011-1582
(734) 644-0340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60266579
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60266579
PHARMACIST LICENSE
WA
Enumeration date
08/16/2012
Last updated
09/21/2012
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