Nicholas Steven Wax, Pharmacist
Pharmacist in Seattle, WA. Individual provider (NPI-1).
NPI number1033623715
StatusActive
Last updated in NPPESJun 23, 2020
Details
- NPI
- 1033623715
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Steven Wax
- Credential
- Pharmacist
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2017
- Certification date
- Jun 23, 2020
- Last updated
- Jun 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH60774528 | WA | Yes |
Practice location
11100 Roosevelt Way NeDeliver To Pharmacy
Seattle, WA 98125
Phone 206-361-0188
Mailing address
11100 Roosevelt Way NeSeattle, WA 98125-6234
Phone 206-361-0188
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