Provider Demographics
NPI:1063661213
Name:LEMASTER, MARK R (RPH)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:R
Last Name:LEMASTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7317 35TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5918
Mailing Address - Country:US
Mailing Address - Phone:206-417-8066
Mailing Address - Fax:206-417-8076
Practice Address - Street 1:7317 35TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5918
Practice Address - Country:US
Practice Address - Phone:206-417-8066
Practice Address - Fax:206-417-8076
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00015715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist