Healthcare Provider Details

I. General information

NPI: 1770846644
Provider Name (Legal Business Name): CARMEL PALMER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2012
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20416 72ND AVE S
KENT WA
98032-2319
US

IV. Provider business mailing address

20416 72ND AVE S
KENT WA
98032-2319
US

V. Phone/Fax

Practice location:
  • Phone: 855-206-3605
  • Fax:
Mailing address:
  • Phone: 855-206-3605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60023756
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: