Provider Demographics
NPI:1922088525
Name:SMITH, SABRINA MARIE (PHARMACY A TECH)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:MARIE
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMACY A TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 UNIVERSITY WY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-7439
Mailing Address - Country:US
Mailing Address - Phone:206-525-0705
Mailing Address - Fax:
Practice Address - Street 1:2700 UNIVERSITY WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105
Practice Address - Country:US
Practice Address - Phone:206-525-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA00060536183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician