Provider Demographics
NPI:1265928394
Name:SWALE, MONALEE DIANE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MONALEE
Middle Name:DIANE
Last Name:SWALE
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 1:107 BELLEVUE WAY SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6229
Mailing Address - Country:US
Mailing Address - Phone:425-454-1818
Mailing Address - Fax:
Practice Address - Street 1:107 BELLEVUE WAY SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6229
Practice Address - Country:US
Practice Address - Phone:425-454-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-01
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25718183500000X
WAPH61066162183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist