Provider Demographics
NPI:1689116782
Name:HAN, SEONG MEE (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:SEONG MEE
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 8TH AVE APT 705
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-4245
Mailing Address - Country:US
Mailing Address - Phone:469-471-3876
Mailing Address - Fax:
Practice Address - Street 1:14880 NE 24TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5533
Practice Address - Country:US
Practice Address - Phone:469-471-3876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH606795201835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care