Healthcare Provider Details

I. General information

NPI: 1891052379
Provider Name (Legal Business Name): HANNAH CUI PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2012
Last Update Date: 09/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 15TH AVE SW
SEATTLE WA
98106-2820
US

IV. Provider business mailing address

9600 15TH AVE SW
SEATTLE WA
98106-2820
US

V. Phone/Fax

Practice location:
  • Phone: 206-763-2727
  • Fax:
Mailing address:
  • Phone: 206-763-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number60176891
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: