Provider Demographics
NPI:1225364102
Name:GETACHEW, ETSEHIWOT (PHARMD)
Entity Type:Individual
Prefix:
First Name:ETSEHIWOT
Middle Name:
Last Name:GETACHEW
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 1:1175 N 205TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3206
Mailing Address - Country:US
Mailing Address - Phone:206-542-0497
Mailing Address - Fax:206-546-1167
Practice Address - Street 1:1175 N 205TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3206
Practice Address - Country:US
Practice Address - Phone:206-542-0497
Practice Address - Fax:206-546-1167
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00022251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist