Provider Demographics
NPI:1740087741
Name:TRIPATHI, TARUL KODE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TARUL
Middle Name:KODE
Last Name:TRIPATHI
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 212TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-9518
Mailing Address - Country:US
Mailing Address - Phone:510-676-9081
Mailing Address - Fax:
Practice Address - Street 1:1712 212TH AVE SE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98075-9518
Practice Address - Country:US
Practice Address - Phone:510-676-9081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00049042183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist