Healthcare Provider Details

I. General information

NPI: 1326149501
Provider Name (Legal Business Name): VENLEE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S JACKSON ST SUITE 3
SEATTLE WA
98144-2059
US

IV. Provider business mailing address

1400 S JACKSON ST SUITE 3
SEATTLE WA
98144-2059
US

V. Phone/Fax

Practice location:
  • Phone: 206-329-0570
  • Fax: 206-328-2413
Mailing address:
  • Phone: 206-329-0570
  • Fax: 206-328-2413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHAR.CF.00004995
License Number StateWA

VIII. Authorized Official

Name: MR. LOC BA NGUYEN SR.
Title or Position: PHARMACY MANAGE
Credential: R. PH.
Phone: 206-329-0570