Provider Demographics
NPI:1144511981
Name:KRAMMER, GARRY (BSP)
Entity type:Individual
Prefix:MR
First Name:GARRY
Middle Name:
Last Name:KRAMMER
Suffix:
Gender:M
Credentials:BSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8080
Mailing Address - Country:US
Mailing Address - Phone:360-676-8570
Mailing Address - Fax:
Practice Address - Street 1:222 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8080
Practice Address - Country:US
Practice Address - Phone:360-676-8570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00041883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist