Provider Demographics
NPI:1679899272
Name:ALI, AHMED A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:A
Last Name:ALI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 RAINIER AVE S
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2002
Mailing Address - Country:US
Mailing Address - Phone:425-277-0212
Mailing Address - Fax:425-277-0337
Practice Address - Street 1:275 RAINIER AVE S
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2002
Practice Address - Country:US
Practice Address - Phone:425-277-0212
Practice Address - Fax:425-277-0337
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60021912183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist