Provider Demographics
NPI:1235301979
Name:SERRANO, MONICA C (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:C
Last Name:SERRANO
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 1:8800 14TH AVE S
Mailing Address - Street 2:PHARMACY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-4864
Mailing Address - Country:US
Mailing Address - Phone:206-762-3397
Mailing Address - Fax:206-764-8362
Practice Address - Street 1:8800 14TH AVE S
Practice Address - Street 2:PHARMACY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-4864
Practice Address - Country:US
Practice Address - Phone:206-762-3397
Practice Address - Fax:206-764-8362
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00070683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist