Healthcare Provider Details

I. General information

NPI: 1932209707
Provider Name (Legal Business Name): KAREN KWOK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 06/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY PHARMACY - 119
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

1660 S COLUMBIAN WAY PHARMACY - 119
SEATTLE WA
98108-1532
US

V. Phone/Fax

Practice location:
  • Phone: 206-277-1920
  • Fax:
Mailing address:
  • Phone: 206-277-1920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281P00000X
TaxonomyChronic Disease Hospital
License NumberPH00021831
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: