Healthcare Provider Details

I. General information

NPI: 1508198771
Provider Name (Legal Business Name): CAROLINE LOUISE PITNEY PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 12/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

1000 MINOR AVE APT 311
SEATTLE WA
98104-1469
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-5208
  • Fax: 206-744-5406
Mailing address:
  • Phone: 314-920-1567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60174577
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2009018522
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH60174577
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH60174577
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: