Provider Demographics
NPI:1750359097
Name:ESTEP, MICHAEL D (RPH)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:ESTEP
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17904 2ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-3411
Mailing Address - Country:US
Mailing Address - Phone:206-542-0329
Mailing Address - Fax:425-348-9214
Practice Address - Street 1:1605 SE EVERETT MALL WAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-2838
Practice Address - Country:US
Practice Address - Phone:425-348-9214
Practice Address - Fax:425-347-2120
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPH00011461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist