Provider Demographics
NPI:1457655987
Name:LUTHER, ELFRIEDE M (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ELFRIEDE
Middle Name:M
Last Name:LUTHER
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 1:6850 NE BOTHELL WAY
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-2404
Mailing Address - Country:US
Mailing Address - Phone:425-486-1661
Mailing Address - Fax:
Practice Address - Street 1:6850 NE BOTHELL WAY
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-2404
Practice Address - Country:US
Practice Address - Phone:425-486-1661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-23
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00042558183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist