Provider Demographics
NPI:1437388519
Name:SEWPERSAD, NEIL (BSC PHARM)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:
Last Name:SEWPERSAD
Suffix:
Gender:M
Credentials:BSC PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 25TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-1370
Mailing Address - Country:US
Mailing Address - Phone:206-933-0191
Mailing Address - Fax:
Practice Address - Street 1:5012 25TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-1370
Practice Address - Country:US
Practice Address - Phone:206-933-0191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH19511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist