Diane M. Jackson

Pharmacist · Bothell, WA

Individual Active NPI

NPI number 1699813014

Practice location

11913 NE 195TH St
Bothell, WA 98011-3147
Phone
(425) 489-3100
Fax
(425) 489-3119

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NPI record

NPI
1699813014
Entity type
Individual (Type 1)
Enumeration date
February 1, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PH00010323 WA

Mailing address

PO Box 34584
Seattle, WA 98124-1584
Phone
(509) 241-7349
Fax
(509) 241-7628

About Diane Jackson

Diane M. Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 11913 NE 195TH St, Bothell, WA 98011-3147. The NPI number 1699813014 was assigned on February 1, 2007 and the record was last updated on July 8, 2007.

Diane Jackson lists a license in the registry: #PH00010323 (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 Diane M. Jackson?

The NPI number is 1699813014.

What is the phone number of Diane Jackson?

The phone number listed for the practice location is (425) 489-3100.

Where is Diane Jackson located?

11913 NE 195TH St, Bothell, WA 98011-3147.

What is the taxonomy code for Diane Jackson?

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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