Individual
AMANDA M LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1100 9TH AVE, G2-PMR, SEATTLE, WA 98101-2756
(206) 223-6764
(206) 625-7278
Mailing address
1100 9TH AVE, G2-PMR, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0012652
OR
183500000X
Pharmacist
Primary
PH60291293
WA
Other
Enumeration date
07/21/2011
Last updated
05/26/2016
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