Carlene Chung, RPH
Individual provider Active NPI Pharmacist · Snoqualmie, WA
NPI 1346907557 · NPPES record last updated Nov 22, 2021
Key facts
- NPI
- 1346907557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH60965358 (WA)
- Practice address
- 9801 Frontier Ave SE
Snoqualmie, WA 98065-5200 - Phone
- (425) 831-2392
- NPI assigned
- Nov 22, 2021
- 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)
- Yes
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60965358 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60965358 | WA | Yes |
Addresses
Primary practice location
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Mailing address
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2392
Other providers in Snoqualmie, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2021. 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.