Bautista, Ponciano F

Bautista, Ponciano F is an sole proprietor health care provider with primary practice located at 4002 49Th Ave S , Seattle WA 98118-1228. He recently has 8 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Bautista, Ponciano F can be contacted via phone (206) 834-5647.

Contact Information

Primary practice address
4002 49Th Ave S Seattle WA 98118-1228
Phone: (206) 834-5647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PH00017744 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X PH00017744 Washington
Suppliers / Compounding Pharmacy 3336C0004X PH00017744 Washington
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PH00017744 Washington
Suppliers / Institutional Pharmacy 3336I0012X PH00017744 Washington
Suppliers / Long Term Care Pharmacy 3336L0003X PH00017744 Washington
Suppliers / Mail Order Pharmacy 3336M0002X PH00017744 Washington
Pharmacy Service Providers / Pharmacist 183500000X PH00017744 Washington

Profile Details

NPI number 1144859638
LBN Legal business name Bautista, Ponciano F
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2020
Last updated Apr 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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