MEDICARE: YAJING CHU PHARMD

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	PH60968159	WA

General Provider Information

NPI Number	:	1891385829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAJING CHU PHARMD

Provider Business Mailing Address
First Line	:	1731 10TH AVE NE UNIT 216
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98029-5428
Country	:	US
Telephone Number	:	425-892-5856
Fax Number	:

Provider Business Practice Location Address
First Line	:	1540 NW GILMAN BLVD
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-5309
Country	:	US
Telephone Number	:	425-392-7500
Fax Number	:

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

Provider Enumeration Date	:	01/23/2021
Last Update Date	:	01/23/2021

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Directions to “ YAJING CHU PHARMD” Practice Location

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