MEDICARE: MR. THOMAS L ENGEL RPH.MBA

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	10969	WA

General Provider Information

NPI Number	:	1770584997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS L ENGEL RPH.MBA

Provider Business Mailing Address
First Line	:	1530 N 115TH ST
Second Line	:	#112
City	:	SEATTLE
State	:	WA
Zip	:	98133-8411
Country	:	US
Telephone Number	:	206-365-2255
Fax Number	:	206-368-1128

Provider Business Practice Location Address
First Line	:	1530 N 115TH ST
Second Line	:	#112
City	:	SEATTLE
State	:	WA
Zip	:	98133-8411
Country	:	US
Telephone Number	:	206-365-2255
Fax Number	:	206-368-1128

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/08/2007

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