Provider Demographics
NPI:1255681607
Name:AMES, TERRI L (RPH)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:L
Last Name:AMES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 E WISHKAH ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-2901
Mailing Address - Country:US
Mailing Address - Phone:360-532-7875
Mailing Address - Fax:360-538-9880
Practice Address - Street 1:909 E WISHKAH ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-2901
Practice Address - Country:US
Practice Address - Phone:360-532-7875
Practice Address - Fax:360-538-9880
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00017797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist