Provider Demographics
NPI:1417523515
Name:CHU, RAYMOND BRIAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:BRIAN
Last Name:CHU
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 1:115 107TH ST SW UNIT B
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-7033
Mailing Address - Country:US
Mailing Address - Phone:805-990-5691
Mailing Address - Fax:
Practice Address - Street 1:1200 SW 27TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2603
Practice Address - Country:US
Practice Address - Phone:206-630-7910
Practice Address - Fax:206-877-0752
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-28
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03440520183500000X
WA61099454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist