Provider Demographics
NPI:1164606059
Name:EGLINGTON, KRISTEN LEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:LEE
Last Name:EGLINGTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KRISTEN
Other - Middle Name:LEE
Other - Last Name:JUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:425 PONTIUS AVE N
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5474
Mailing Address - Country:US
Mailing Address - Phone:206-320-4000
Mailing Address - Fax:206-389-4338
Practice Address - Street 1:425 PONTIUS AVE N
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5474
Practice Address - Country:US
Practice Address - Phone:206-320-4000
Practice Address - Fax:206-389-4338
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00043127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist