Provider Demographics
NPI:1568490985
Name:WOO, MONIQUE ASSUERO (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:ASSUERO
Last Name:WOO
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 1:217 112TH ST SW
Mailing Address - Street 2:B-104
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-4947
Mailing Address - Country:US
Mailing Address - Phone:425-513-5496
Mailing Address - Fax:
Practice Address - Street 1:17633 HWY 99
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-3627
Practice Address - Country:US
Practice Address - Phone:425-743-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00064178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist