Provider Demographics
NPI:1750051603
Name:CABIAO, DAMARIS GAIL (PHARMD)
Entity Type:Individual
Prefix:
First Name:DAMARIS
Middle Name:GAIL
Last Name:CABIAO
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 1:9532 MARLBROOK LOOP SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-6838
Mailing Address - Country:US
Mailing Address - Phone:360-259-2679
Mailing Address - Fax:
Practice Address - Street 1:1409 11TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-3901
Practice Address - Country:US
Practice Address - Phone:206-324-2335
Practice Address - Fax:206-324-2274
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61178643183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist