Provider Demographics
NPI:1043643331
Name:SOM, SANDY VOCH (PHARM D)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:VOCH
Last Name:SOM
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 S COMMONS WAY
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-8010
Mailing Address - Country:US
Mailing Address - Phone:253-733-7521
Mailing Address - Fax:
Practice Address - Street 1:2201 S COMMONS
Practice Address - Street 2:T1947
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6023
Practice Address - Country:US
Practice Address - Phone:253-733-7521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2017-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60351254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist