Provider Demographics
NPI:1598893323
Name:HAUPT, BRIDGET ANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:ANNE
Last Name:HAUPT
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 1:1952 10TH AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-2822
Mailing Address - Country:US
Mailing Address - Phone:206-284-3264
Mailing Address - Fax:
Practice Address - Street 1:1959 N E PACIFIC ST
Practice Address - Street 2:UNIVERSITY OF WASHINGTON ROOM EA-127 BOX 356015
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6015
Practice Address - Country:US
Practice Address - Phone:206-598-3962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00041349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist