Healthcare Provider Details

I. General information

NPI: 1306315080
Provider Name (Legal Business Name): ANUM RIZVI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2018
Last Update Date: 12/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH AVE
SEATTLE WA
98101-2756
US

IV. Provider business mailing address

800 NE 67TH ST APT 520
SEATTLE WA
98115-5865
US

V. Phone/Fax

Practice location:
  • Phone: 888-862-2737
  • Fax:
Mailing address:
  • Phone: 702-672-6748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH60767362
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: