Provider Demographics
NPI:1649509530
Name:SEXTON, TIMOTHY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:
Last Name:SEXTON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14352 LAKE CITY WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-3620
Mailing Address - Country:US
Mailing Address - Phone:206-361-9753
Mailing Address - Fax:206-361-5979
Practice Address - Street 1:14352 LAKE CITY WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-3620
Practice Address - Country:US
Practice Address - Phone:206-361-9753
Practice Address - Fax:206-361-5979
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00052355183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist