NPI 1194127266

Hima Gorantla

Practitioner Pharmacist Arlington, WA

Practice location

Address: 4010 172nd St NE, Arlington, WA 98223-8482
Phone: (360) 386-4615
Fax: (360) 386-4609
Mailing address: 3721 222nd Pl SE, Bothell, WA 98021-4221

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH00054737 (WA)

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Registry record

NPI: 1194127266
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2014
Record last updated: 20 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.