Anaya Theta Destan, RPH

NPI #1063699296 in Seattle, Washington

Provider Information

NPI Number: 1063699296
Entity Type: Individual
Name: Anaya Theta Destan, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jan 30, 2008
Last Updated: Feb 14, 2017

Practice Location

Address: 2226 EASTLAKE AVE E #282
City: Seattle
State: Washington
ZIP Code: 98102-3419
Phone: (206) 451-7416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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