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NPI Code Detail

MEDICARE: MRS. MIY YONG OBRIAN PHARM.D

MEDICARE:  MRS. MIY YONG  OBRIAN  PHARM.D
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
1183500000XPharmacistPH60776340WA

General Provider Information

NPI Number : 1255318887
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MIY YONG OBRIAN PHARM.D
Provider Business Mailing Address
First Line : 35013 SNOQUALMIE PKWY
Second Line :
City : SNOQUALMIE
State : WA
Zip : 98065-5149
Country : US
Telephone Number : 425-363-6045
Fax Number :
Provider Business Practice Location Address
First Line : 35013 SNOQUALMIE PKWY
Second Line :
City : SNOQUALMIE
State : WA
Zip : 98065-5149
Country : US
Telephone Number : 425-363-6045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2005
Last Update Date : 11/08/2018

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Directions to “ MRS. MIY YONG OBRIAN PHARM.D” Practice Location

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