Provider Demographics
NPI:1962020800
Name:WILLIAMS, ERIN MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 NE 43RD ST APT 305
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-6073
Mailing Address - Country:US
Mailing Address - Phone:360-649-6855
Mailing Address - Fax:
Practice Address - Street 1:400 E PINE ST STE 100B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-2360
Practice Address - Country:US
Practice Address - Phone:206-641-7766
Practice Address - Fax:206-641-7767
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIR60693785183500000X, 183500000X
WAPH61082291183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist