Provider Demographics
NPI:1316636582
Name:PITCHFORD, SANDRA LYNNE (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:LYNNE
Last Name:PITCHFORD
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:L
Other - Last Name:BIGELOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4700 NE 4TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-4800
Mailing Address - Country:US
Mailing Address - Phone:425-793-1015
Mailing Address - Fax:
Practice Address - Street 1:4700 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-4800
Practice Address - Country:US
Practice Address - Phone:425-793-1015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician