Individual
DR. HEIDI ALICIA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9000 RAINIER AVE S, SEATTLE, WA 98118-5017
(206) 721-9778
Mailing address
4021 41ST AVE S, SEATTLE, WA 98118-1114
(206) 721-9778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00049221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00049221
WASHINGTON STATE
WA
Enumeration date
05/22/2015
Last updated
05/22/2015
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