Healthcare Provider Details

I. General information

NPI: 1134182017
Provider Name (Legal Business Name): ROBERT DONALD LOEFFELBEIN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE 2 WEST CLINIC -MAILSTOP 359930
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

525 N BOWDOIN PL APT 301
SEATTLE WA
98103-7744
US

V. Phone/Fax

Practice location:
  • Phone: 206-731-5151
  • Fax: 206-731-5152
Mailing address:
  • Phone: 206-547-5217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00021446
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: