Provider Demographics
NPI:1144509670
Name:LAW, SIN MAN JENNIFER (PHARMD)
Entity type:Individual
Prefix:
First Name:SIN MAN JENNIFER
Middle Name:
Last Name:LAW
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2352 N 61ST ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5739
Mailing Address - Country:US
Mailing Address - Phone:206-992-4997
Mailing Address - Fax:
Practice Address - Street 1:2352 N 61ST ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5739
Practice Address - Country:US
Practice Address - Phone:206-992-4997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60020905183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist