Healthcare Provider Details

I. General information

NPI: 1003773029
Provider Name (Legal Business Name): CALLAHAN ANDERSON RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4412 RAINIER AVE S
SEATTLE WA
98118-1373
US

IV. Provider business mailing address

4412 RAINIER AVE S
SEATTLE WA
98118-1373
US

V. Phone/Fax

Practice location:
  • Phone: 206-760-7880
  • Fax:
Mailing address:
  • Phone: 206-760-7880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number70045205
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: