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General NPI Number Information
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NPI Number | 1649305384
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Entity Type | Individual
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Provider Name | E. BRUCE MARSHLAIN R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1120 HARVARD AVE
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City | SEATTLE
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State | WA
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Zip | 98122-4206
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Country | US
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Telephone | 206-324-6990
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Fax | 206-329-1849
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Provider Business Mailing Address
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Address Line | 2702 143RD PL SE
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City | MILL CREEK
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State | WA
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Zip | 98012-5798
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Country | US
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Telephone | 425-481-1329
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH00009180
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License Number State | WA
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