Provider Demographics
NPI:1558346650
Name:STUESSI, KAREN MARIE (PHARMACY TECH A)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:STUESSI
Suffix:
Gender:F
Credentials:PHARMACY TECH A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4805 180TH ST SW
Mailing Address - Street 2:# F-104
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-3641
Mailing Address - Country:US
Mailing Address - Phone:206-330-6003
Mailing Address - Fax:
Practice Address - Street 1:4805 180TH ST SW
Practice Address - Street 2:# F-104
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-3641
Practice Address - Country:US
Practice Address - Phone:206-330-6003
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA00040457183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician