Healthcare Provider Details

I. General information

NPI: 1427035013
Provider Name (Legal Business Name): ANDREW WARREN SCHRIMSHER R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 01/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8862 161ST AVE NE SUITE 102
REDMOND WA
98052-7553
US

IV. Provider business mailing address

4002 W LAKE SAMM PKWY NE A-8
REDMOND WA
98052-5676
US

V. Phone/Fax

Practice location:
  • Phone: 425-883-9532
  • Fax: 425-882-2743
Mailing address:
  • Phone: 425-702-8467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00011658
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: