Healthcare Provider Details

I. General information

NPI: 1053692004
Provider Name (Legal Business Name): VICKY MCFARLANE PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2011
Last Update Date: 09/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24008 SNOHOMISH WOODINVILLE RD
WOODINVILLE WA
98072-9743
US

IV. Provider business mailing address

PO BOX 314
LANGLEY WA
98260-0314
US

V. Phone/Fax

Practice location:
  • Phone: 425-806-7728
  • Fax:
Mailing address:
  • Phone: 360-730-1892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH00008050
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: