Healthcare Provider Details

I. General information

NPI: 1669783742
Provider Name (Legal Business Name): BRITTNEY JEAN ENEMARK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2010
Last Update Date: 11/27/2023
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 EASTLAKE AVE E SUITE 400
SEATTLE WA
98102-3345
US

IV. Provider business mailing address

PO BOX 2031
SNOQUALMIE WA
98065-2031
US

V. Phone/Fax

Practice location:
  • Phone: 206-838-4590
  • Fax: 206-838-4599
Mailing address:
  • Phone: 425-888-6858
  • Fax: 425-888-6870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60155802
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: