Healthcare Provider Details

I. General information

NPI: 1205754751
Provider Name (Legal Business Name): PUI CHU
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST MAIN HOSPITAL
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1959 NE PACIFIC ST MAIN HOSPITAL
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-3300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHRM.PH.70004982
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: