Provider Demographics
NPI:1326348194
Name:CHEN, JOHANNA CHING YING (RPH)
Entity Type:Individual
Prefix:MISS
First Name:JOHANNA CHING YING
Middle Name:
Last Name:CHEN
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 1:9620 28TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-4102
Mailing Address - Country:US
Mailing Address - Phone:206-923-9110
Mailing Address - Fax:
Practice Address - Street 1:9620 28TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-4102
Practice Address - Country:US
Practice Address - Phone:206-923-9110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60142243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist