MEDICARE: MR. WAYNE TIM LUK 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	PH00042579	WA

General Provider Information

NPI Number	:	1780707083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WAYNE TIM LUK RPH

Provider Business Mailing Address
First Line	:	124 WINSLOW WAY W
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-2512
Country	:	US
Telephone Number	:	206-780-7809
Fax Number	:	206-842-7801

Provider Business Practice Location Address
First Line	:	124 WINSLOW WAY W
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-2512
Country	:	US
Telephone Number	:	206-780-7809
Fax Number	:	206-780-7801

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

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	06/09/2026

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