Provider Demographics
NPI:1578809703
Name:PARK YOON, HYUN S (RPH)
Entity Type:Individual
Prefix:MRS
First Name:HYUN
Middle Name:S
Last Name:PARK YOON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 100TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2752
Mailing Address - Country:US
Mailing Address - Phone:253-588-3666
Mailing Address - Fax:
Practice Address - Street 1:5700 100TH ST SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2752
Practice Address - Country:US
Practice Address - Phone:253-588-3666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-16
Last Update Date:2012-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH53701183500000X
NV15859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist