| Doctor Name: | DR. THOMAS NDAMELE |
| NPI Number: | 1013183615 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHARM.D. |
| License Number: | PH00064003 |
| Business Practice Address: | 17171 Bothell Way Ne Ste 150 Lake Forest Park, WA - 981555534 |
| Business Phone Number: | 2063636364 |
| Business Fax Number: | 2063678370 |
| Mailing Address: | 17171 Bothell Way Ne Ste 150, LAKE FOREST PARK |
| State: | WA |
| Postal Code: | 981555534 |
| Phone Number: | 2063636364 |
| Fax Number: | 2063678370 |
| NPI Enumeration Date: | 05/02/2008 |
| NPI Last Update Date: | 05/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | PH00064003 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |