IndividualActive
Max Phelps, PH00009411
NPI 1427693258 · Geriatric Pharmacist · Kent, WA
Provider details
- NPI number
- 1427693258
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- PH00009411
- Sex
- Male
- Sole proprietor
- No
- License
- PH00009411 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
25316 74th Ave S Ste 105
Kent, WA 98032-6022
Phone: (800) 562-8386
Fax: (800) 421-7772
Approximate (ZIP-level) locationGet directions
Mailing address
23234 114th Way Se
Kent, WA 98031-3429
Registry dates
- Enumerated
- 2019-11-15
- Last updated
- 2019-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.