Healthcare Provider Details

I. General information

NPI: 1730686528
Provider Name (Legal Business Name): LIEN THIBICH DO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2018
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4033 TALBOT RD S STE 260
RENTON WA
98055-5767
US

IV. Provider business mailing address

6412 STUART PL SE
AUBURN WA
98092-7727
US

V. Phone/Fax

Practice location:
  • Phone: 425-690-3533
  • Fax: 425-690-9147
Mailing address:
  • Phone: 360-224-1505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60010873
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPH60010873
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: