Provider Demographics
NPI:1982130563
Name:SAEED, SUMERA (RPH)
Entity Type:Individual
Prefix:
First Name:SUMERA
Middle Name:
Last Name:SAEED
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 58TH AVE E
Mailing Address - Street 2:UNIT H7
Mailing Address - City:FIFE
Mailing Address - State:WA
Mailing Address - Zip Code:98424-2018
Mailing Address - Country:US
Mailing Address - Phone:253-709-4525
Mailing Address - Fax:
Practice Address - Street 1:1401 GALAXY DR NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-4746
Practice Address - Country:US
Practice Address - Phone:360-456-7862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60549760183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist