MEDICARE: ELLEN K GIANG

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	PH60948536	WA

General Provider Information

NPI Number	:	1578173134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLEN K GIANG

Provider Business Mailing Address
First Line	:	801 SPRING ST APT 2-1213
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-4214
Country	:	US
Telephone Number	:	469-826-8043
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 SPRING ST APT 2-1213
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-4214
Country	:	US
Telephone Number	:	469-826-8043
Fax Number	:

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

Provider Enumeration Date	:	08/07/2020
Last Update Date	:	08/07/2020

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Directions to “ ELLEN K GIANG ” Practice Location

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