Healthcare Provider Details

I. General information

NPI: 1871596866
Provider Name (Legal Business Name): JOEL R HADFIELD RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 216TH ST SW STE 100
EDMONDS WA
98026-8006
US

IV. Provider business mailing address

21701 76TH AVE W STE 303
EDMONDS WA
98026-7536
US

V. Phone/Fax

Practice location:
  • Phone: 425-673-3700
  • Fax: 425-673-3717
Mailing address:
  • Phone: 425-744-1730
  • Fax: 425-744-8448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00007774
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: