Provider Demographics
NPI:1982930590
Name:WASHINGTON, TERRI
Entity type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 WINTERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7819
Mailing Address - Country:US
Mailing Address - Phone:317-201-4319
Mailing Address - Fax:
Practice Address - Street 1:6201 W PLANO PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4914
Practice Address - Country:US
Practice Address - Phone:800-874-5881
Practice Address - Fax:415-484-7058
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.306298183500000X
IN26021491A183500000X
IDP11121183500000X
TX45754183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist