Provider Demographics
NPI:1487954392
Name:SONGCO, CLAIRE MARIE TORRES (RPH)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE MARIE
Middle Name:TORRES
Last Name:SONGCO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10223 GRAVELLY LAKE DR SW
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98499-5004
Mailing Address - Country:US
Mailing Address - Phone:253-531-7181
Mailing Address - Fax:253-588-3658
Practice Address - Street 1:10223 GRAVELLY LAKE DR SW
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98499-5004
Practice Address - Country:US
Practice Address - Phone:253-531-7181
Practice Address - Fax:253-588-3658
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 60075903183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist