Individual
MARISA YAMASHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1660 S COLUMBIAN WAY, PHARMACY S-119, SEATTLE, WA 98108-1532
(206) 277-4574
Mailing address
8548A MIDVALE AVE N, SEATTLE, WA 98103-4032
(206) 277-4574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-3426
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH-3426
PHARMACIST LICENSE
HI
Enumeration date
09/25/2012
Last updated
09/25/2012
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