Healthcare Provider Details

I. General information

NPI: 1720059439
Provider Name (Legal Business Name): WENDY NADIA DUFFY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

947 POWELL AVE SW STE 100
RENTON WA
98057-2975
US

IV. Provider business mailing address

955 POWELL AVE SW
RENTON WA
98057-2908
US

V. Phone/Fax

Practice location:
  • Phone: 425-277-1311
  • Fax: 425-277-1566
Mailing address:
  • Phone: 425-277-1311
  • Fax: 425-277-1566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00047622
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: