Healthcare Provider Details

I. General information

NPI: 1285754705
Provider Name (Legal Business Name): ANDREW DAVID BARNES PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST BOX 356015
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

5228 44TH AVE SW
SEATTLE WA
98136-1102
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-6060
  • Fax: 206-598-6075
Mailing address:
  • Phone: 206-935-9388
  • Fax: 206-598-6075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00016724
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: