Provider Demographics
NPI:1225540826
Name:SAETEURN, MEY LAI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEY
Middle Name:LAI
Last Name:SAETEURN
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 1:9630 S 177TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5722
Mailing Address - Country:US
Mailing Address - Phone:206-601-3462
Mailing Address - Fax:
Practice Address - Street 1:10407 SE 256TH ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-6366
Practice Address - Country:US
Practice Address - Phone:253-854-5343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-04
Last Update Date:2017-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60772350183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist