Provider Demographics
NPI:1023323243
Name:PARMAR, SUSAN (SUSAN PARMAR)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:PARMAR
Suffix:
Gender:F
Credentials:SUSAN PARMAR
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:PARMAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:76 CEDAR ST UNIT 501
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-4105
Mailing Address - Country:US
Mailing Address - Phone:253-324-3204
Mailing Address - Fax:
Practice Address - Street 1:2131 SW 336TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-2847
Practice Address - Country:US
Practice Address - Phone:253-952-2803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH---67676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist