Provider Demographics
NPI:1346665163
Name:BARON, VALERIE LYNN (PHARMD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:LYNN
Last Name:BARON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:LYNN
Other - Last Name:FISHBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:108 S. JACKSON ST.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-576-9573
Mailing Address - Fax:206-829-4806
Practice Address - Street 1:108 S. JACKSON ST.
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-576-9573
Practice Address - Fax:206-829-4806
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302036855183500000X
WAPH60424840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist