Provider Demographics
NPI:1275890790
Name:HARDEN, DARA L (PHARMD)
Entity Type:Individual
Prefix:
First Name:DARA
Middle Name:L
Last Name:HARDEN
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 1:419 35TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2604
Mailing Address - Country:US
Mailing Address - Phone:206-890-0150
Mailing Address - Fax:888-458-8818
Practice Address - Street 1:419 35TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2604
Practice Address - Country:US
Practice Address - Phone:206-890-0150
Practice Address - Fax:888-458-8818
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60146408183500000X
OK13254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist