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NPI Code Detail

MEDICARE: MR. TAI CHIEM PHARMD

MEDICARE: MR. TAI CHIEM PHARMD
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH00057505WA

General Provider Information

NPI Number : 1184985368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TAI CHIEM PHARMD
Provider Business Mailing Address
First Line : 417 BROADWAY E
Second Line :
City : SEATTLE
State : WA
Zip : 98102-5009
Country : US
Telephone Number : 206-323-6586
Fax Number : 206-328-6960
Provider Business Practice Location Address
First Line : 417 BROADWAY E
Second Line :
City : SEATTLE
State : WA
Zip : 98102-5009
Country : US
Telephone Number : 206-323-6586
Fax Number : 206-328-6960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2012
Last Update Date : 06/05/2026

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