Healthcare Provider Details

I. General information

NPI: 1780175661
Provider Name (Legal Business Name): ANNA HUFFMAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2018
Last Update Date: 05/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MADISON ST # 100
SEATTLE WA
98104-1316
US

IV. Provider business mailing address

6813 NE 163RD ST
KENMORE WA
98028-6305
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-6111
  • Fax:
Mailing address:
  • Phone: 425-483-1653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00016909
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: