Provider Demographics
NPI:1124512918
Name:WUBISHET, MULUMEBET (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:MULUMEBET
Middle Name:
Last Name:WUBISHET
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7607 S SUNNYCREST RD
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-2747
Mailing Address - Country:US
Mailing Address - Phone:206-778-4034
Mailing Address - Fax:
Practice Address - Street 1:822 20TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4734
Practice Address - Country:US
Practice Address - Phone:206-778-4034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000154571835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care