Healthcare Provider Details

I. General information

NPI: 1972906170
Provider Name (Legal Business Name): BRIANA COYNE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 13TH ST
EVERETT WA
98201-1621
US

IV. Provider business mailing address

PO BOX 5127
EVERETT WA
98206-5127
US

V. Phone/Fax

Practice location:
  • Phone: 425-297-5560
  • Fax: 425-297-5561
Mailing address:
  • Phone: 206-860-5414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60474812
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: