Provider Demographics
NPI:1861752479
Name:MEILING, FORREST CALEB (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FORREST
Middle Name:CALEB
Last Name:MEILING
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 QUEEN ANNE AVE N
Mailing Address - Street 2:#302
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5748
Mailing Address - Country:US
Mailing Address - Phone:520-603-8606
Mailing Address - Fax:
Practice Address - Street 1:1417 QUEEN ANNE AVE N
Practice Address - Street 2:#302
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5748
Practice Address - Country:US
Practice Address - Phone:520-603-8606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60266155183500000X
OR0013016183500000X
AZ12491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist