Provider Demographics
NPI:1821518796
Name:DEUBRY, RUBENA (RPH)
Entity Type:Individual
Prefix:
First Name:RUBENA
Middle Name:
Last Name:DEUBRY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:RUBY
Other - Middle Name:
Other - Last Name:DEUBRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:9239 228TH WAY NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-2064
Mailing Address - Country:US
Mailing Address - Phone:425-974-9485
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA618649183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA618649OtherNABP