Provider Demographics
NPI:1700858735
Name:KLAFF, RIVKA ELYSE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:RIVKA
Middle Name:ELYSE
Last Name:KLAFF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:RIVKA
Other - Middle Name:ELYSE
Other - Last Name:KRISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8518B STONE AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4039
Mailing Address - Country:US
Mailing Address - Phone:206-953-4962
Mailing Address - Fax:
Practice Address - Street 1:11913 NE 195TH ST
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3147
Practice Address - Country:US
Practice Address - Phone:425-489-3104
Practice Address - Fax:425-489-3119
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00051892183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist