Provider Demographics
NPI:1124453493
Name:CAMPBELL, KRISTIAN AARON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRISTIAN
Middle Name:AARON
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 8TH AVE
Mailing Address - Street 2:APT 502
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1283
Mailing Address - Country:US
Mailing Address - Phone:815-519-5511
Mailing Address - Fax:
Practice Address - Street 1:747 BROADWAY
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4379
Practice Address - Country:US
Practice Address - Phone:206-386-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60382970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist