Healthcare Provider Details

I. General information

NPI: 1912829144
Provider Name (Legal Business Name): HARUKO ISHII PHARM/D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3810 PLAZA WAY
KENNEWICK WA
99338-2722
US

IV. Provider business mailing address

5731 W 17TH AVE
KENNEWICK WA
99338-7514
US

V. Phone/Fax

Practice location:
  • Phone: 509-221-7350
  • Fax:
Mailing address:
  • Phone: 509-987-2045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH60119599
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: