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NPI Code Detail

MEDICARE: CELESTE D MOMBERG B. PHARM

MEDICARE: CELESTE D MOMBERG B. PHARM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH00054331WA

General Provider Information

NPI Number : 1669925996
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTE D MOMBERG B. PHARM
Provider Business Mailing Address
First Line : 2746 NE 45TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98105-5099
Country : US
Telephone Number : 206-729-3080
Fax Number : 206-528-0974
Provider Business Practice Location Address
First Line : 2746 NE 45TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98105-5099
Country : US
Telephone Number : 206-729-3080
Fax Number : 206-528-0974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2016
Last Update Date : 06/05/2026

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Directions to “ CELESTE D MOMBERG B. PHARM” Practice Location

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