Provider Demographics
NPI:1104312297
Name:SAKULSINGHDUSIT, ARTCHIRIYAPRAPA TERA (RPH)
Entity type:Individual
Prefix:
First Name:ARTCHIRIYAPRAPA
Middle Name:TERA
Last Name:SAKULSINGHDUSIT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20307 MOUNTAIN HWY E
Mailing Address - Street 2:PHARMACY
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387
Mailing Address - Country:US
Mailing Address - Phone:253-846-6260
Mailing Address - Fax:
Practice Address - Street 1:20307 MOUNTAIN HWY E
Practice Address - Street 2:PHARMACY
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387
Practice Address - Country:US
Practice Address - Phone:253-846-6260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60769848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist