Provider Demographics
NPI:1386776995
Name:BYE, EDWARD O (RPH)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:O
Last Name:BYE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16325 THORPE RD NE
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-8010
Mailing Address - Country:US
Mailing Address - Phone:360-697-1021
Mailing Address - Fax:
Practice Address - Street 1:16325 THORPE RD NE
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-8010
Practice Address - Country:US
Practice Address - Phone:360-697-1021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000091101835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy