Provider Demographics
NPI:1942776901
Name:SEIDMAN, RACHEL SHARON WEINBAUM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SHARON WEINBAUM
Last Name:SEIDMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 BOREN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3508
Mailing Address - Country:US
Mailing Address - Phone:206-682-1011
Mailing Address - Fax:206-224-7997
Practice Address - Street 1:901 BOREN AVE STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3508
Practice Address - Country:US
Practice Address - Phone:206-682-1011
Practice Address - Fax:206-224-7997
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy