Basic Information
| Provider Information | |||||||||
| NPI: | 1982130563 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAEED | ||||||||
| FirstName: | SUMERA | ||||||||
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| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2317 58TH AVE E | ||||||||
| Address2: | UNIT H7 | ||||||||
| City: | FIFE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984242018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2537094525 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1401 GALAXY DR NE | ||||||||
| Address2: | |||||||||
| City: | LACEY | ||||||||
| State: | WA | ||||||||
| PostalCode: | 985164746 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3604567862 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2017 | ||||||||
| LastUpdateDate: | 05/03/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | PH60549760 | WA | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.