Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONNOR TRISTRAM MCCLELLAN, VA 30175052
Active Sole ProprietorCONNOR TRISTRAM MCCLELLAN, VA 30175052 is a Pharmacy Technician healthcare provider located in KENMORE, Washington. NPI 1891402590 is currently active in the NPPES registry. Verify at CMS.
Pharmacy Technician · KENMORE, WA
Registration Details
- NPI Number
- 1891402590
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2022 (3.8213054290936 yrs)
- Last Updated
- Nov 2, 2022
- License
-
30175052 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18022 68TH AVE NEKENMORE, WA, 980282400Browse WA providers · Browse ZIP 98028
- Phone
- 4254242320
- Primary Specialty
-
Pharmacy Technician
183700000X
Other Pharmacy Technician Providers in KENMORE, WA
| Name | Credential | NPI |
|---|---|---|
| HEATHER WATSON | — | 1730761776 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.