MEDICARE: UNITED CARE PHARMACY

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1245578962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED CARE PHARMACY

Provider Business Mailing Address
First Line	:	18230 E VALLEY HWY, SUITE 188
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18230 E VALLEY HWY STE 188
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98032-1231
Country	:	US
Telephone Number	:	425-444-6750
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	WOODY CHOW
Credential	:
Telephone Number	:	425-444-6750

Provider Enumeration Date	:	01/31/2013
Last Update Date	:	04/19/2013

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Directions to “UNITED CARE PHARMACY ” Practice Location

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