Creesa Octavio

Pharmacist · Shoreline, WA

Individual Active NPI

NPI number 1013736248

Practice location

14510 Aurora Ave N
Shoreline, WA 98133-6525
Phone
(206) 361-8826

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NPI record

NPI
1013736248
Entity type
Individual (Type 1)
Enumeration date
October 4, 2024
Last updated
October 4, 2024
Certified
October 4, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PH61534059 WA

About Creesa Octavio

Creesa Octavio is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 14510 Aurora Ave N, Shoreline, WA 98133-6525. The NPI number 1013736248 was assigned on October 4, 2024 and the record was last updated on October 4, 2024.

Creesa Octavio lists a license in the registry: #PH61534059 (WA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Creesa Octavio?

The NPI number is 1013736248.

What is the phone number of Creesa Octavio?

The phone number listed for the practice location is (206) 361-8826.

Where is Creesa Octavio located?

14510 Aurora Ave N, Shoreline, WA 98133-6525.

What is the taxonomy code for Creesa Octavio?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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