Ponciano F Bautista
Pharmacist in Seattle, WA. Individual provider (NPI-1).
NPI number1144859638
StatusActive
Last updated in NPPESApr 6, 2020
Details
- NPI
- 1144859638
- Entity type
- Individual (NPI-1)
- Name
- Ponciano F Bautista
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2020
- Certification date
- Apr 6, 2020
- Last updated
- Apr 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH00017744 | WA | Yes |
| 3336C0002X | Pharmacy, Clinic Pharmacy | PH00017744 | WA | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PH00017744 | WA | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | PH00017744 | WA | |
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | PH00017744 | WA | |
| 3336I0012X | Pharmacy, Institutional Pharmacy | PH00017744 | WA | |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | PH00017744 | WA | |
| 3336M0002X | Pharmacy, Mail Order Pharmacy | PH00017744 | WA |
Practice location
4002 49th Ave SSeattle, WA 98118-1228
Phone 206-834-5647
Mailing address
4002 49th Ave SSeattle, WA 98118-1228
Phone 206-834-5647 · Fax 206-323-9206
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