Teresa Lai Shan Chu
Individual provider Active NPI Pharmacist · Kenmore, WA
NPI 1124335989 · NPPES record last updated Aug 31, 2010
Key facts
- NPI
- 1124335989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH 00042261 (WA)
- Practice address
- 18022 68TH Ave NE
Kenmore, WA 98028-2400 - Phone
- (425) 424-2320
- NPI assigned
- Aug 31, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH 00042261 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH 00042261 | WA | Yes |
Addresses
Primary practice location
18022 68TH Ave NE
Kenmore, WA 98028-2400
Mailing address
17695 NE 122ND St
Redmond, WA 98052-2644
Phone (206) 226-3787
Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.