Most Relevant Information
Provider Data
| NPI Number: | 1003000993 |
| Provider Name: | STEPHEN EDWARD MCMANNIS |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH60444168 |
Most Important Dates
| Enumeration Date: | 09/04/2007 |
| Last Updated: | 12/11/2014 |
Provider Practice Location
117 SW 160TH STREET
BURIEN
WA
98166
Practice Location Phone/Fax
| Phone: | 2062422030 |
| Fax: | 2062422018 |
Provider Mailing Location
312 N 45TH ST
SEATTLE
WA
981036305
Provider Mailing Phone/Fax
| Phone: | 3307030373 |
| Fax: |