Provider Demographics
NPI:1063282630
Name:AGUINALDO, EDERLINDA (PHARMD)
Entity type:Individual
Prefix:
First Name:EDERLINDA
Middle Name:
Last Name:AGUINALDO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12818 79TH AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-5424
Mailing Address - Country:US
Mailing Address - Phone:808-635-6383
Mailing Address - Fax:
Practice Address - Street 1:12818 79TH AVENUE CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-5424
Practice Address - Country:US
Practice Address - Phone:808-635-6383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61320512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist