Provider Demographics
NPI:1316269939
Name:MAKADIA, SWEETY AMAR (PHARMD)
Entity type:Individual
Prefix:
First Name:SWEETY
Middle Name:AMAR
Last Name:MAKADIA
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 1:3905 S 337TH ST
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98001-9570
Mailing Address - Country:US
Mailing Address - Phone:954-701-8601
Mailing Address - Fax:
Practice Address - Street 1:28817 MILITARY RD S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7912
Practice Address - Country:US
Practice Address - Phone:253-839-1027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60124911183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist