Provider Demographics
NPI:1649261652
Name:STANSBURY, EUGENIA MARIE (RPH, CACP)
Entity type:Individual
Prefix:MRS
First Name:EUGENIA
Middle Name:MARIE
Last Name:STANSBURY
Suffix:
Gender:F
Credentials:RPH, CACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3127 VILLA CT SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98503-4069
Mailing Address - Country:US
Mailing Address - Phone:360-491-8759
Mailing Address - Fax:
Practice Address - Street 1:ALLENMORE ANTICOAGULATION CLINIC
Practice Address - Street 2:1901 S. UNION AVE SUITE A-201
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1703
Practice Address - Country:US
Practice Address - Phone:253-459-6736
Practice Address - Fax:253-459-6238
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000101651835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy