Healthcare Provider Details

I. General information

NPI: 1578730461
Provider Name (Legal Business Name): KAREN LEE URBANOWICZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2008
Last Update Date: 05/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1929 QUEEN ANNE AVE N
SEATTLE WA
98109-2549
US

IV. Provider business mailing address

2560 3RD AVE W
SEATTLE WA
98119-2306
US

V. Phone/Fax

Practice location:
  • Phone: 206-285-1737
  • Fax:
Mailing address:
  • Phone: 206-284-7970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00071100
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3502
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPR5322
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: