Healthcare Provider Details

I. General information

NPI: 1386509479
Provider Name (Legal Business Name): SYDNEY ELIZABETH HARRELL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 1ST ST S
YELM WA
98597-7700
US

IV. Provider business mailing address

9205 81ST ST SW
LAKEWOOD WA
98498-3963
US

V. Phone/Fax

Practice location:
  • Phone: 360-458-8467
  • Fax: 360-206-5157
Mailing address:
  • Phone: 253-584-8480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH70018832
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: