Healthcare Provider Details

I. General information

NPI: 1639574981
Provider Name (Legal Business Name): LOI CHAU PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2014
Last Update Date: 10/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 BROADWAY RM 117
SEATTLE WA
98122-5330
US

IV. Provider business mailing address

601 BROADWAY RM 117
SEATTLE WA
98122-5330
US

V. Phone/Fax

Practice location:
  • Phone: 206-215-6415
  • Fax: 206-215-6417
Mailing address:
  • Phone: 206-215-6415
  • Fax: 206-215-6417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH00042127
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: