Healthcare Provider Details

I. General information

NPI: 1003330481
Provider Name (Legal Business Name): SARAH WUE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 07/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21718 66TH AVE W STE 202
MOUNTLAKE TERRACE WA
98043-2138
US

IV. Provider business mailing address

18404 41ST PL W
LYNNWOOD WA
98037-3713
US

V. Phone/Fax

Practice location:
  • Phone: 425-673-5200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60277642
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: