Individual
ETSEGENET E SIMACHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
22316 36TH AVE SE, BOTHELL, WA 98021-0001
(314) 971-5002
Mailing address
22316 36TH AVE SE, BOTHELL, WA 98021-0001
(314) 971-5002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60260528
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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