Provider Demographics
NPI:1114257953
Name:STRUNK, TAMI (RPH)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:STRUNK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14656 AMBAUM BLVD SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-1810
Mailing Address - Country:US
Mailing Address - Phone:206-901-1816
Mailing Address - Fax:206-901-1894
Practice Address - Street 1:14656 AMBAUM BLVD SW
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1810
Practice Address - Country:US
Practice Address - Phone:206-901-1816
Practice Address - Fax:206-901-1894
Is Sole Proprietor?:No
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00018715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist