MEDICARE: DR. AMANDA LYNN MCPEAK PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	IR60122617	WA

General Provider Information

NPI Number	:	1619223922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA LYNN MCPEAK PHARMD

Provider Business Mailing Address
First Line	:	8340 15TH AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-3603
Country	:	US
Telephone Number	:	206-782-7480
Fax Number	:	206-782-7842

Provider Business Practice Location Address
First Line	:	2324 EASTLAKE AVE E STE 400
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-6539
Country	:	US
Telephone Number	:	68-384-5902
Fax Number	:	68-384-5992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2012
Last Update Date	:	01/13/2025

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