Healthcare Provider Details

I. General information

NPI: 1770860462
Provider Name (Legal Business Name): ELIZABETH VARA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2011
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MADISON ST
SEATTLE WA
98104-1263
US

IV. Provider business mailing address

4528 41ST AVE SW UNIT B
SEATTLE WA
98116-4221
US

V. Phone/Fax

Practice location:
  • Phone: 800-619-7610
  • Fax:
Mailing address:
  • Phone: 513-833-7573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number014506
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-1-27334
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH61359766
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: