Healthcare Provider Details

I. General information

NPI: 1366089070
Provider Name (Legal Business Name): PAVEL PASHCHUK PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2019
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 AUBURN WAY N
AUBURN WA
98002-4164
US

IV. Provider business mailing address

27031 111TH CT SE
KENT WA
98030-7224
US

V. Phone/Fax

Practice location:
  • Phone: 253-931-5584
  • Fax:
Mailing address:
  • Phone: 206-491-1371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH61335413
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: