MEDICARE: HEATHER ROSSI PHARMD

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
1	183500000X	Pharmacist	22125	WA

General Provider Information

NPI Number	:	1730455700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ROSSI PHARMD

Provider Business Mailing Address
First Line	:	13000 LAKE CITY WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4429
Country	:	US
Telephone Number	:	206-440-2433
Fax Number	:	206-440-2427

Provider Business Practice Location Address
First Line	:	13000 LAKE CITY WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4429
Country	:	US
Telephone Number	:	206-440-2433
Fax Number	:	206-440-2427

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2012
Last Update Date	:	03/23/2012

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Directions to “ HEATHER ROSSI PHARMD” Practice Location

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