Sungil Ho, RPH

Individual provider Active NPI Community/Retail Pharmacy · Milton, WA

NPI 1497220701 · NPPES record last updated Oct 12, 2018

Key facts

NPI
1497220701
Entity type
Individual (NPI type 1)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PH60868238 (WA)
Practice address
900 Meridian E Ste 23
Milton, WA 98354-7003
Phone
(253) 952-2680
NPI assigned
Oct 12, 2018
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH60868238WAMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Community/Retail Pharmacy Past Accepting new patients
Thrifty Payless Inc Community/Retail Pharmacy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH60868238 WA Yes

Addresses

Primary practice location

900 Meridian E Ste 23
Milton, WA 98354-7003

Mailing address

12909 Mukilteo Speedway Apt F204
Lynnwood, WA 98087-5279
Phone (425) 737-1214

Other providers in Milton, WA

All providers in Milton, WA · Community/Retail Pharmacy in Washington

Sources for this page

Verify at the official NPI Registry.