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PAVEL MITIN PHARMD
NPI 1225657844
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Taholah, WA

Active since April 14, 2020
1505 KLA-OOK-WA DR, TAHOLAH, WA 98587(360) 276-4405(360) 276-0188 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pavel Mitin Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAVEL MITIN PHARMD (NPI 1225657844) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Taholah, Washington, licensed in Washington (PH60108956) and active in the NPI registry since April 2020. He maintains a secondary practice location in Aberdeen.

NPPES Registry Identity

NPI1225657844
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NamePAVEL MITINCredential: PHARMD
Location Address1505 KLA-OOK-WA DRTaholah, WA 98587
Mailing Address15857 42nd Ave STukwila, WA 98188-2653 · (206) 707-3170
Phone(360) 276-4405
Fax(360) 276-0188
Sole ProprietorNo
Enumeration DateApril 14, 2020
NPPES CertifiedApril 14, 2020
✔ NPI 1225657844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in WA · PH60108956
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1505 KLA-OOK-WA DR, Taholah, WA 98587
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Secondary Practice Location 1

Location 1915 Anderson DrAberdeen, WA 98520-1006 · Phone (360) 532-8330

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISHELLE JACKSON SUDPT
Counselor (Addiction (Substance Use Disorder))
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-8215
GREGORY G KOZLOWSKI DDS
Dentist (General Practice)
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
QUINAULT INDIAN NATION
Clinic/Center (Dental)
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
HOLLY ANNE MULLINS MASSAGE PRACTITIONER
Massage Therapist
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
QUINAULT CHEMICAL DEPEDENCY
Clinic/Center (Rehabilitation, Substance Use Disorder)
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
QUINAULT INDIAN NATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
MARY LOUISE HART ARNP
Nurse Practitioner (Family)
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
TRICIA DEE BUMGARNER MA
Massage Therapist
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pavel Mitin's NPI number?

The NPI number for Pavel Mitin is 1225657844. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Pavel Mitin located?

Pavel Mitin practices at 1505 Kla-Ook-Wa Dr, Taholah, WA 98587. The listed phone number is (360) 276-4405.

What is Pavel Mitin's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Pavel Mitin was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.