Tammy Lee Adler, PHARMD

Individual provider Active NPI Pharmacist · Medical Lake, WA

NPI 1487100038 · NPPES record last updated Sep 1, 2016

Key facts

NPI
1487100038
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH00051308 (WA)
Practice address
1010 W Fir St
Medical Lake, WA 99022
Phone
(509) 565-4585
Fax
(509) 565-4649
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH00051308WAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00051308 WA Yes

Addresses

Primary practice location

1010 W Fir St
Medical Lake, WA 99022

Mailing address

PO Box 48074
Spokane, WA 99228-1074
Phone (509) 999-7938

Other providers in Medical Lake, WA

All providers in Medical Lake, WA · Pharmacist in Washington

Sources for this page

Verify at the official NPI Registry.