Provider Demographics
NPI:1568078293
Name:JALALYAR, WRASHMENA (PHARMD)
Entity Type:Individual
Prefix:
First Name:WRASHMENA
Middle Name:
Last Name:JALALYAR
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:PO BOX 1235
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-1235
Mailing Address - Country:US
Mailing Address - Phone:509-442-9234
Mailing Address - Fax:
Practice Address - Street 1:4412 RAINIER AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1373
Practice Address - Country:US
Practice Address - Phone:206-781-7881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60977120183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist