Individual
MARIAM SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 HIGHLANDS DR NE, ISSAQUAH, WA 98029-6240
(425) 392-4181
Mailing address
1121 124TH AVE NE, BELLEVUE, WA 98005-2101
(425) 362-5065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61295931
WA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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