Provider Demographics
NPI:1417080029
Name:LOUIE, MONICA MAY (PHARM D)
Entity Type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:MAY
Last Name:LOUIE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 S UNION AVE
Mailing Address - Street 2:DEPT OF PHARMACY SERVICES
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1702
Mailing Address - Country:US
Mailing Address - Phone:253-459-6744
Mailing Address - Fax:253-459-6207
Practice Address - Street 1:1901 S UNION AVE
Practice Address - Street 2:DEPT OF PHARMACY SERVICES
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1702
Practice Address - Country:US
Practice Address - Phone:253-459-6744
Practice Address - Fax:253-459-6207
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA68157183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist