Ponciano Bautista

NPI 1144859638 · on the registry since 2020 · sole proprietor

Practice

Address: 4002 49th Ave S
Seattle, WA 98118
Phone: (206) 834-5647

Registry record

Primary taxonomy: Pharmacist
183500000X
Also registered as: Clinic Pharmacy
Community/Retail Pharmacy
Compounding Pharmacy
Home Infusion Therapy Pharmacy
Institutional Pharmacy
Long Term Care Pharmacy
Mail Order Pharmacy
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-04-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington