Terry Tyrrell, RPH
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Enumclaw, WA
NPI 1669721072 · NPPES record last updated Aug 30, 2012
Key facts
- NPI
- 1669721072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 00011049 (WA)
- Practice address
- 1455 Battersby Ave
Enumclaw, WA 98022-3634 - Phone
- (360) 802-8668
- Fax
- (360) 802-8669
- NPI assigned
- Aug 30, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00011049 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 00011049 | WA | Yes |
Addresses
Primary practice location
1455 Battersby Ave
Enumclaw, WA 98022-3634
Mailing address
PO Box 218
Enumclaw, WA 98022-0218
Phone (360) 802-8668
Other providers in Enumclaw, WA
- Gene Bryant Trobaugh
- Theresa-Lynn Tudela
- Craig D Tuohy
- Aric M Turrubiate
- Patrick Russell Tutt
- Andrea Dawn Unger
- Keira Lynn Uphaus
- Megan Ann Upson
- Tara M Vadney
- Hannah Elisa Valdes-Chenoweth
All providers in Enumclaw, WA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.