Healthcare Provider Details

I. General information

NPI: 1104875327
Provider Name (Legal Business Name): HEIDI INGRID SAWYER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

10738 68TH PL S
SEATTLE WA
98178-2560
US

V. Phone/Fax

Practice location:
  • Phone: 206-731-3096
  • Fax:
Mailing address:
  • Phone: 206-722-8845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPH00020380
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: