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NPI Code Detail

MEDICARE: MS. NANCY K WU RPH

MEDICARE: MS. NANCY K WU RPH
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
1183500000XPharmacistPH00049213WA

General Provider Information

NPI Number : 1790006336
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY K WU RPH
Provider Business Mailing Address
First Line : 6116 69TH AVENUE CT W
Second Line :
City : UNIVERSITY PLACE
State : WA
Zip : 98467-2102
Country : US
Telephone Number : 253-905-9205
Fax Number :
Provider Business Practice Location Address
First Line : 315 MARTIN LUTHER KING JR WAY
Second Line :
City : TACOMA
State : WA
Zip : 98405-4234
Country : US
Telephone Number : 253-403-2403
Fax Number : 253-403-1029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2010
Last Update Date : 03/24/2026

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