Provider Demographics
NPI:1801867932
Name:LAMBERT, THERESA CAROL (RPH CDE)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:CAROL
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:RPH CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16183 NW HITE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:SEABECK
Mailing Address - State:WA
Mailing Address - Zip Code:98380-9675
Mailing Address - Country:US
Mailing Address - Phone:360-830-4526
Mailing Address - Fax:
Practice Address - Street 1:10452 SILVERDALE WAY NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-9411
Practice Address - Country:US
Practice Address - Phone:360-307-7365
Practice Address - Fax:360-307-7325
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00011539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist