Provider Demographics
NPI:1740820117
Name:MAGLALANG, MATTHEW SALAMAT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:SALAMAT
Last Name:MAGLALANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7785 SUNSET HWY UNIT 334
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-4062
Mailing Address - Country:US
Mailing Address - Phone:503-704-7046
Mailing Address - Fax:
Practice Address - Street 1:7785 SUNSET HWY UNIT 334
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-4062
Practice Address - Country:US
Practice Address - Phone:503-704-7046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60152178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist