Provider Demographics
NPI:1093843666
Name:TU, CAM N (RPH)
Entity Type:Individual
Prefix:MR
First Name:CAM
Middle Name:N
Last Name:TU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 23RD AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2902
Mailing Address - Country:US
Mailing Address - Phone:206-849-5245
Mailing Address - Fax:
Practice Address - Street 1:1412 SW 43RD ST STE 120
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-4803
Practice Address - Country:US
Practice Address - Phone:425-251-6335
Practice Address - Fax:425-251-6337
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00042604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist