MEDICARE: DONG NAI 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	333600000X	Pharmacy	CF00002451	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326108770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONG NAI PHARMACY

Provider Business Mailing Address
First Line	:	620 S JACKSON ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2911
Country	:	US
Telephone Number	:	206-624-4238
Fax Number	:	206-682-2089

Provider Business Practice Location Address
First Line	:	620 S JACKSON ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2911
Country	:	US
Telephone Number	:	206-624-4238
Fax Number	:	206-682-2089

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. THANH NGOC CAO
Credential	:
Telephone Number	:	206-624-4238

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	08/22/2020

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Directions to “DONG NAI PHARMACY ” Practice Location

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