Healthcare Provider Details

I. General information

NPI: 1508856584
Provider Name (Legal Business Name): STEVEN SINGER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 05/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 112TH AVE NE #A-100
BELLEVUE WA
98004-3732
US

IV. Provider business mailing address

18800 142ND AVE NE SUITE 4B
WOODINVILLE WA
98072-8218
US

V. Phone/Fax

Practice location:
  • Phone: 425-455-2123
  • Fax: 425-454-1252
Mailing address:
  • Phone: 425-455-2123
  • Fax: 425-908-7363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00011227
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH00011227
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: