Healthcare Provider Details

I. General information

NPI: 1144288283
Provider Name (Legal Business Name): EDWIN K YAU BSCPHARM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 01/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 DELRIDGE WAY SW UNIT 400
SEATTLE WA
98106-1249
US

IV. Provider business mailing address

4025 DELRIDGE WAY SW UNIT 400
SEATTLE WA
98106-1249
US

V. Phone/Fax

Practice location:
  • Phone: 206-240-9997
  • Fax:
Mailing address:
  • Phone: 206-240-9997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number60322
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: