Healthcare Provider Details

I. General information

NPI: 1053957001
Provider Name (Legal Business Name): KARA S WULF PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

4256 NOYES ST
SAN DIEGO CA
92109-5533
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-6100
  • Fax:
Mailing address:
  • Phone: 206-919-9523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number86527
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: