Individual
BASEM ELSAYED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH. LICENSE
Contact information
Practice address
4010 172ND ST NE, ARLINGTON, WA 98223-8482
(360) 386-4608
Mailing address
20721 OLYMPIC PL NE APT A112, ARLINGTON, WA 98223-4861
(206) 883-7171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60482957
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60482957
PHARMACIST LICENSE
WA
Enumeration date
07/10/2015
Last updated
07/10/2015
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