Provider Demographics
NPI:1164612271
Name:WEINBERG, DOROTHY ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:ANN
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:DOROTHY
Other - Middle Name:ANN
Other - Last Name:MICHELBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:2826 140TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1827
Mailing Address - Country:US
Mailing Address - Phone:425-881-1667
Mailing Address - Fax:
Practice Address - Street 1:4727 DENVER AVENUE SOUTH
Practice Address - Street 2:BARTELL DRUGS
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-2316
Practice Address - Country:US
Practice Address - Phone:206-763-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00007964183500000X
AZ3366183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist