Provider Demographics
NPI:1336462076
Name:SEAH, POH KOK (RPH)
Entity Type:Individual
Prefix:MR
First Name:POH
Middle Name:KOK
Last Name:SEAH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1597 NE JOSHUA TREE LN
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-7677
Mailing Address - Country:US
Mailing Address - Phone:425-392-0911
Mailing Address - Fax:
Practice Address - Street 1:647 140TH AVE NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-4719
Practice Address - Country:US
Practice Address - Phone:425-603-1438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00053370183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist