Janelle Blakey

Individual provider Active NPI Pharmacy Technician · Enumclaw, WA

NPI 1720525249 · NPPES record last updated Jan 22, 2017

Key facts

NPI
1720525249
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
VA00015957 (WA)
Practice address
2479 Griffin Ave
102
Enumclaw, WA 98022-2409
Phone
(800) 998-2611
NPI assigned
Jan 22, 2017
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

State licenses

LicenseStateTypeSpecialty
VA00015957WAMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X VA00015957 WA Yes

Addresses

Primary practice location

2479 Griffin Ave
102
Enumclaw, WA 98022-2409

Mailing address

9318 229TH Ave E
Buckley, WA 98321-7441
Phone (253) 753-6908

Other providers in Enumclaw, WA

All providers in Enumclaw, WA · Pharmacy Technician in Washington

Sources for this page

Verify at the official NPI Registry.