MEDICARE: NINA T PHAN PHARMACIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH61557732	WA

General Provider Information

NPI Number	:	1043037609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA T PHAN PHARMACIST

Provider Business Mailing Address
First Line	:	8340 15TH AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-3603
Country	:	US
Telephone Number	:	206-859-3442
Fax Number	:

Provider Business Practice Location Address
First Line	:	8340 15TH AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-3603
Country	:	US
Telephone Number	:	206-243-2796
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2024
Last Update Date	:	01/18/2026

Similar Medicare Providers

1740226372 — SAFEWAY INC
Practice Location Address:

8340 15TH AVE NW
SEATTLE, WA
98117-3603

Practice Phone: 206-782-7480
Practice Fax: 206-782-7842

1568764462 — SUSAN PHILLIPS HAMM RPH
Practice Location Address:

8340 15TH AVE NW
SEATTLE, WA
98117-3603

Practice Phone: 206-782-7480
Practice Fax: 206-782-7842

1366290165 — 1918 WINTER STREET OPERATING CO LLC
Practice Location Address:

8340 15TH AVE NW
SEATTLE, WA
98117-3603

Practice Phone: 206-782-7480
Practice Fax: 206-782-7842

1063500627 — MICHELE FRANCES BENEDISUK PT
Practice Location Address:

3603 S MCCLELLAN ST
SEATTLE, WA
98144-5615

Practice Phone: 206-328-6517
Practice Fax:

1376632562 — ELIZABETH ELLEN ROGERS PT
Practice Location Address:

3603 S MCCLELLAN ST
SEATTLE, WA
98144-5615

Practice Phone: 206-535-7356
Practice Fax:

1417193277 — JENNIFER DAILEY LMP
Practice Location Address:

3603 S. MCCLELLAN ST
SEATTLE, WA
98144

Practice Phone: 206-356-0912
Practice Fax:

Directions to “ NINA T PHAN PHARMACIST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.