Provider Demographics
NPI:1073155792
Name:ANDREWS, PEYTON NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PEYTON
Middle Name:NICOLE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 HOQUIAM AVE NE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-4876
Mailing Address - Country:US
Mailing Address - Phone:269-274-7325
Mailing Address - Fax:
Practice Address - Street 1:17615 140TH AVE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-6828
Practice Address - Country:US
Practice Address - Phone:425-204-1585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60970443183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist