MEDICARE: MR. HUI K CHANG RPH

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	PH00016962	WA

General Provider Information

NPI Number	:	1356641153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HUI K CHANG RPH

Provider Business Mailing Address
First Line	:	10223 GRAVELLY LAKE DR SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98499-5004
Country	:	US
Telephone Number	:	253-581-7181
Fax Number	:	253-588-3658

Provider Business Practice Location Address
First Line	:	10223 GRAVELLY LAKE DR SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98499-5004
Country	:	US
Telephone Number	:	253-581-7181
Fax Number	:	253-588-3658

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

Provider Enumeration Date	:	10/26/2010
Last Update Date	:	10/26/2010

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