Provider Demographics
NPI:1568723773
Name:ZHANG, HAE YOUNG (PHARM D)
Entity Type:Individual
Prefix:
First Name:HAE YOUNG
Middle Name:
Last Name:ZHANG
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 1:2964 142ND PL SE APT 3
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-6464
Mailing Address - Country:US
Mailing Address - Phone:425-577-9411
Mailing Address - Fax:
Practice Address - Street 1:2746 NE 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-5099
Practice Address - Country:US
Practice Address - Phone:206-729-3080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60020903183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist