Provider Demographics
NPI:1083278931
Name:FARMAND, ROMINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROMINA
Middle Name:
Last Name:FARMAND
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 1:11818 NE 130TH PL APT J12
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2947
Mailing Address - Country:US
Mailing Address - Phone:206-450-5922
Mailing Address - Fax:
Practice Address - Street 1:3905 FACTORIA SQUARE MALL SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1264
Practice Address - Country:US
Practice Address - Phone:425-644-2925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60886737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist