MEDICARE: MR. WING HON CHOW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH00042319	WA

General Provider Information

NPI Number	:	1154449684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WING HON CHOW

Provider Business Mailing Address
First Line	:	2025 N 145TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98133-6644
Country	:	US
Telephone Number	:	206-214-8820
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 NW RICHMOND BEACH RD
Second Line	:
City	:	SHORELINE
State	:	WA
Zip	:	98177-3121
Country	:	US
Telephone Number	:	206-542-9688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	07/08/2007

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