Provider Demographics
NPI:1730166364
Name:LOVEJOY, EDWARD HOWARD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:HOWARD
Last Name:LOVEJOY
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 1:1126 N 78TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4812
Mailing Address - Country:US
Mailing Address - Phone:206-527-2814
Mailing Address - Fax:
Practice Address - Street 1:600 1ST AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4001
Practice Address - Country:US
Practice Address - Phone:206-284-1354
Practice Address - Fax:206-378-6060
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-23
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP10233183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist