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NPI Code Detail

MEDICARE: CHUNYI CHANG PHARMD

MEDICARE: CHUNYI CHANG PHARMD
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
1183500000XPharmacist62155CA
2183500000XPharmacistPH60111277WA

General Provider Information

NPI Number : 1770868341
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHUNYI CHANG PHARMD
Provider Business Mailing Address
First Line : 12405 NE 85TH ST
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8032
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12405 NE 85TH ST
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8032
Country : US
Telephone Number : 425-822-9202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2011
Last Update Date : 11/16/2016

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Directions to “ CHUNYI CHANG PHARMD” Practice Location

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