Provider Demographics
NPI:1043610652
Name:VOELKER, ELLEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:VOELKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:
Other - Last Name:POLLMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3421 CALIFORNIA AVE SW UNIT B
Mailing Address - Street 2:B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-3376
Mailing Address - Country:US
Mailing Address - Phone:314-691-2248
Mailing Address - Fax:
Practice Address - Street 1:3421 CALIFORNIA AVE SW UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-3376
Practice Address - Country:US
Practice Address - Phone:314-691-2248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005013335183500000X
IL051.295631183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist