Provider Demographics
NPI:1811090772
Name:SIN, ELEXA (PHARMD)
Entity type:Individual
Prefix:MS
First Name:ELEXA
Middle Name:
Last Name:SIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:206-277-2383
Mailing Address - Fax:
Practice Address - Street 1:PHARMACY (S-119-PHAR) 1660 S. COLUMBIAN WAY
Practice Address - Street 2:DEPARTMENT OF VETEREN AFFAIRS PUGET SOUND HEALTH CARE
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108
Practice Address - Country:US
Practice Address - Phone:206-277-1352
Practice Address - Fax:206-764-2628
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00064871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist