Provider Demographics
NPI:1275003220
Name:MERLY TORRES, NEMESIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:NEMESIS
Middle Name:
Last Name:MERLY TORRES
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 1:4720 176TH ST SW APT R3
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-3438
Mailing Address - Country:US
Mailing Address - Phone:787-587-4233
Mailing Address - Fax:
Practice Address - Street 1:947 POWELL AVE SW # 422
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2975
Practice Address - Country:US
Practice Address - Phone:787-587-4233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60880405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist