Provider Demographics
NPI:1154526994
Name:SEIGNEMARTIN, BRANDY R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:R
Last Name:SEIGNEMARTIN
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 1:426 FERNDALE AVE NE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-4002
Mailing Address - Country:US
Mailing Address - Phone:509-808-9197
Mailing Address - Fax:
Practice Address - Street 1:15602 MAIN ST NE
Practice Address - Street 2:
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-8578
Practice Address - Country:US
Practice Address - Phone:425-788-2644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61054523183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist