Provider Demographics
NPI:1942522834
Name:GEORGE, TINSY K
Entity Type:Individual
Prefix:MRS
First Name:TINSY
Middle Name:K
Last Name:GEORGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TINSY
Other - Middle Name:
Other - Last Name:KURIAKOSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:526 228TH AVE NE, BARTELL DRUGS
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074
Mailing Address - Country:US
Mailing Address - Phone:425-868-1112
Mailing Address - Fax:725-868-0170
Practice Address - Street 1:526 228TH AVE NE, BARTELL DRUGS
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074
Practice Address - Country:US
Practice Address - Phone:425-868-1112
Practice Address - Fax:725-868-0170
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20053082183500000X
WAPH60321472183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist