NPI 1679290480

Meladine E Siu

Practitioner Pharmacy Technician Mountlake Terrace, WA

Practice location

Address: 22803 44th Ave W STE B, Mountlake Terrace, WA 98043-5032
Phone: (425) 771-3738
Fax: (425) 776-1190
Mailing address: 14915 72nd Pl NE, Kenmore, WA 98028-4916

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 60780008 (WA)

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Registry record

NPI: 1679290480
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2022
Record last updated: 21 Oct 2022

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.