Healthcare Provider Details

I. General information

NPI: 1477858926
Provider Name (Legal Business Name): OMAR DAOUD PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2011
Last Update Date: 01/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 S JACKSON ST
SEATTLE WA
98144-2364
US

IV. Provider business mailing address

14103 262ND AVE SE
MONROE WA
98272-9531
US

V. Phone/Fax

Practice location:
  • Phone: 206-329-6850
  • Fax:
Mailing address:
  • Phone: 206-240-7363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00060737
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: