Provider Demographics
NPI:1356107619
Name:PRAHL, BRITTANII L (PHARMD)
Entity type:Individual
Prefix:
First Name:BRITTANII
Middle Name:L
Last Name:PRAHL
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 1:3901 1ST AVE NW UNIT 101
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4956
Mailing Address - Country:US
Mailing Address - Phone:801-433-7851
Mailing Address - Fax:
Practice Address - Street 1:3901 1ST AVE NW UNIT 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4956
Practice Address - Country:US
Practice Address - Phone:801-433-7851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA71534981835C0205X
WA31666701835P1200X
WAPH60970211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835C0205XPharmacy Service ProvidersPharmacistCritical Care
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy