Provider Demographics
NPI:1851420723
Name:KINSMAN, SANDY MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:MARIE
Last Name:KINSMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 WILDFLOWER WAY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-5368
Mailing Address - Country:US
Mailing Address - Phone:360-650-9040
Mailing Address - Fax:
Practice Address - Street 1:2901 SQUALICUM PARKWAY
Practice Address - Street 2:PHARMACY
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1898
Practice Address - Country:US
Practice Address - Phone:360-788-6085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000395081835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy