Provider Demographics
NPI:1104376391
Name:CHONG, SHERI SENE YENE (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:SENE YENE
Last Name:CHONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 NE UNIVERSITY VILLAGE ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-5016
Mailing Address - Country:US
Mailing Address - Phone:206-525-0705
Mailing Address - Fax:206-525-0740
Practice Address - Street 1:2700 NE UNIVERSITY VILLAGE ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-5016
Practice Address - Country:US
Practice Address - Phone:206-525-0705
Practice Address - Fax:206-525-0740
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60972736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist