Provider Demographics
NPI:1013280072
Name:STEIN, GAIL ELLEN (RPH)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:ELLEN
Last Name:STEIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:ELLEN
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:12906 BOTHELL EVERETT HWY
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-6687
Mailing Address - Country:US
Mailing Address - Phone:425-357-2033
Mailing Address - Fax:425-357-2027
Practice Address - Street 1:12906 BOTHELL EVERETT HWY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-6687
Practice Address - Country:US
Practice Address - Phone:425-357-2033
Practice Address - Fax:425-357-2027
Is Sole Proprietor?:No
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00011054183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist