Provider Demographics
NPI:1427301605
Name:SAID, DAGA ABDULLE (PHARMD)
Entity type:Individual
Prefix:
First Name:DAGA
Middle Name:ABDULLE
Last Name:SAID
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5802 S 122ND ST
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98178-5506
Mailing Address - Country:US
Mailing Address - Phone:206-330-8651
Mailing Address - Fax:
Practice Address - Street 1:5802 S 122ND ST
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98178-5506
Practice Address - Country:US
Practice Address - Phone:206-330-8651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 60230128183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist