NPI 1043664436

Lily Jei-Ho Chang

Organisation Non-Pharmacy Dispensing Site Kirkland, WA

Practice location

Address: 12710 102nd Ave NE, Kirkland, WA 98034-2847
Phone: (425) 286-7018
Fax: (888) 431-8819
Mailing address: 2980 N Beverly Glen Cir Suite 100, Los Angeles, CA 90077-1726

Authorised official

Name: Lily Jei-Ho Chang
Title: Owner
Phone: (425) 286-7018

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence NT60454183 (WA)

Other Non-Pharmacy Dispensing Site providers in Washington →

Registry record

NPI: 1043664436
Entity type: Organization
NPI issued: 21 Apr 2016
Record last updated: 21 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.