Provider Demographics
NPI:1578684577
Name:BELL, DUONG L (PHARM D)
Entity Type:Individual
Prefix:
First Name:DUONG
Middle Name:L
Last Name:BELL
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 1:2202 NW FAR COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5610
Mailing Address - Country:US
Mailing Address - Phone:425-391-2615
Mailing Address - Fax:
Practice Address - Street 1:211 PARKPLACE CTR
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6228
Practice Address - Country:US
Practice Address - Phone:425-822-4123
Practice Address - Fax:425-803-3292
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 00053769183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist