1164606059 NPI number — DR. KRISTEN LEE EGLINGTON PHARM.D.

Table of content: DR. KRISTEN LEE EGLINGTON PHARM.D. (NPI 1164606059)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164606059 NPI number — DR. KRISTEN LEE EGLINGTON PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EGLINGTON
Provider First Name:
KRISTEN
Provider Middle Name:
LEE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JUE
Provider Other First Name:
KRISTEN
Provider Other Middle Name:
LEE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARM.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1164606059
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/27/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
425 PONTIUS AVE N
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98109-5474
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-320-4000
Provider Business Mailing Address Fax Number:
206-389-4338

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
425 PONTIUS AVE N
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98109-5474
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-320-4000
Provider Business Practice Location Address Fax Number:
206-389-4338
Provider Enumeration Date:
12/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  PH00043127 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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