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Keith Gilman Fongemie, PHARMD
Pharmacist in Federal Way, Washington
NPI 1629149448

Keith Gilman Fongemie is a Pharmacist based in Federal Way, WA. Keith Gilman Fongemie practices in Federal Way, WA and has the professional credentials of PHARMD. The NPI Number for Keith Gilman Fongemie is 1629149448 and holds a License No. PH00055424 (Washington).

The current practice location address for Keith Gilman Fongemie is 36503 2Nd Ave Sw, Federal Way, WA and can be reached out via phone at 206-459-2019.

Location: 36503 2Nd Ave Sw, Federal Way, WA, 98023-7376
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629149448
Provider Name
Keith Gilman Fongemie
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
36503 2Nd Ave Sw, Federal Way, WA, 98023-7376
Phone Number
206-459-2019
Fax Number
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PH00055424 01 WA PHARMACIST LICENSE
institution
Provider Business Practice Location Address Details
Address
36503 2Nd Ave Sw
City
Federal Way
State
Washington
Zip
98023-7376
Phone Number
206-459-2019
Fax Number
person
Provider Business Mailing Address Details
Address
36503 2Nd Ave Sw
City
Federal Way
State
Washington
Zip
98023-7376
Phone Number
206-459-2019
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PH00055424 (Washington)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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