Provider Demographics
NPI:1154303097
Name:TSUNG, DAVID TAWEI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:TAWEI
Last Name:TSUNG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2249
Mailing Address - Country:US
Mailing Address - Phone:818-470-6591
Mailing Address - Fax:
Practice Address - Street 1:16251 SYLVESTER RD SW
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166
Practice Address - Country:US
Practice Address - Phone:206-988-5714
Practice Address - Fax:206-988-5777
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2009-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00056558183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist