Provider Demographics
NPI:1619179603
Name:ARTHUR, EDMUND KWASI (RPH)
Entity Type:Individual
Prefix:MR
First Name:EDMUND
Middle Name:KWASI
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4957 LAKEMONT BLVD SE PMB C4-16
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-7801
Mailing Address - Country:US
Mailing Address - Phone:206-714-9390
Mailing Address - Fax:425-603-9091
Practice Address - Street 1:14730 NE 8TH ST STE 105
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4128
Practice Address - Country:US
Practice Address - Phone:206-714-9390
Practice Address - Fax:425-603-9091
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA20955183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist