Provider Demographics
NPI:1790120525
Name:DAMMEIER, MOLLY HOLROYD (PHARMD)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:HOLROYD
Last Name:DAMMEIER
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 1:7728 53RD STREET CT W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98467-5005
Mailing Address - Country:US
Mailing Address - Phone:253-241-7024
Mailing Address - Fax:
Practice Address - Street 1:17617 VASHON HWY SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-4682
Practice Address - Country:US
Practice Address - Phone:206-463-9118
Practice Address - Fax:206-463-6950
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIR60090623183500000X
WAPH603497371835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist