Provider Demographics
NPI:1023288529
Name:BAIR, DEBORAH E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:E
Last Name:BAIR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:E
Other - Last Name:CRUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9040 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1100
Mailing Address - Country:US
Mailing Address - Phone:253-968-2365
Mailing Address - Fax:253-968-5811
Practice Address - Street 1:9040 A JACKSON AVE
Practice Address - Street 2:9040 A. JACKSON AVENUE
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-1100
Practice Address - Country:US
Practice Address - Phone:253-968-3702
Practice Address - Fax:253-968-5811
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15062183500000X
WAPH00058741183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist