Healthcare Provider Details

I. General information

NPI: 1891791448
Provider Name (Legal Business Name): ERIC M HARVEY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

9710 50TH AVE SW
SEATTLE WA
98136-2725
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-1990
  • Fax: 206-987-2224
Mailing address:
  • Phone: 206-938-4372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPH00016667
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: