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DR. LARA CONNELL PHARMD

Pharmacy Service Providers Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Provider NPI: 1528246170

Provider Information:
DR. LARA  CONNELL PHARMD
Gender: F
Sole Proprietor

Practice Location:
THE POLYCLINIC 1145 BROADWAY SEATTLE, WA 98122 US
Tel: 206-669-7132  Fax: --

Business Mailing Address:
360 HAYES ST  SEATTLE, WA 98109-2816 US
Tel: 206-669-7132  Fax: --

NPI Information:
NPI: 1528246170
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1835P0018XPharmacy Service Providers
Pharmacist
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
WAPH00060834

Other Provider Identifiers:

IssuerNumberStateType
PHARMACIST LICENSE NUMBERPH00060834WA01



American Medical Association 2012 taxonomy code information

Code: 1835P0018X

Type:

Classification:



Definition:



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