Provider Demographics
NPI:1770797748
Name:MEHL, MARGARET VICTORIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:VICTORIA
Last Name:MEHL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:MEHL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:10611 SE 291ST ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-1923
Mailing Address - Country:US
Mailing Address - Phone:253-740-2775
Mailing Address - Fax:
Practice Address - Street 1:400 S 43RD ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5714
Practice Address - Country:US
Practice Address - Phone:425-228-3440
Practice Address - Fax:425-656-5447
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000117541835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMT0214344OtherDEA REGISTRATION NUMBER