Healthcare Provider Details

I. General information

NPI: 1740305879
Provider Name (Legal Business Name): SOUND PRESCRIPTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 03/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 112TH AVE NE STE A102
BELLEVUE WA
98004-3708
US

IV. Provider business mailing address

1200 112TH AVE NE STE A102
BELLEVUE WA
98004-3732
US

V. Phone/Fax

Practice location:
  • Phone: 425-289-0347
  • Fax: 425-289-0891
Mailing address:
  • Phone: 425-289-0347
  • Fax: 425-289-0891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberCF60212041
License Number StateWA

VIII. Authorized Official

Name: CRAIG TOMAN
Title or Position: MANAGING MEMEBER
Credential: PHARMD
Phone: 425-289-0347