Doctor Name: | CAROLINE MICHELLE DE LEON-SMITH |
NPI Number: | 1912017062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT |
License Number: | VA00063064 |
Business Practice Address: | 22803 44th Ave W Mountlake Terrace, WA - 980435032 |
Business Phone Number: | 4257713738 |
Business Fax Number: | 4257761190 |
Mailing Address: | 22803 44th Ave W, MOUNTLAKE TERRACE |
State: | WA |
Postal Code: | 980435032 |
Phone Number: | 4257713738 |
Fax Number: | 4257761190 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | VA00063064 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |